title: Spontaneous gastric ulcer perforation and acute spleen infarction caused by invasive gastric and splenic mucormycosis.
abstract: Mucormycosis is a rare life-threatening fungal infection mostly affecting immunocompromised hosts. The main categories of human disease with the Mucorales are sinusitis/rhinocerebral, pulmonary, cutaneous/subcutaneous, gastrointestinal and disseminated disease. Other disease states occur with a much lower frequency and include cystitis, vaginitis; external otitis and allergic disease. We report a diabetic patient with comorbidities, who developed gastric perforation clinically indistinguishable from perforated peptic ulcer due to invasive gastric mucormycosis complicated by spleen infarction.
authors.affiliation: Department of Medicine, Infectious Diseases Section, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mushira Abdulaziz
authors.initials: MA
authors.lastname: Enani
authors.affiliation: Department of Surgical Specialties, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Bandar N
authors.initials: BN
authors.lastname: Alharthi
authors.affiliation: Department of Surgical Specialties, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Nancy
authors.initials: N
authors.lastname: Dewanjee
authors.affiliation: Department of Surgical Specialties, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Nadeem A
authors.initials: NA
authors.lastname: Bhat
authors.affiliation: Department of Pathology and Clinical Laboratory Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mosa
authors.initials: M
authors.lastname: Fagih
keywords: Gastric ulcer; Infarction of spleen; Mucormycosis; Perforation; Zygomycosis