A Case Report of Gastrointestinal Basidiobolomycosis Treated With Voriconazole: A Rare Emerging Entity.
BACKGROUND
Basidiobolomycosis is an unusual fungal disease that rarely involves the visceral organs such as gastrointestinal tract. Gastrointestinal basidiobolomycosis (GIB) has been increasingly reported in the literature, and it is an emerging disease from arid regions worldwide, in particular, the south-western Saudi Arabia. We report a case of GIB in a 36-year-old Saudi Arabian male patient showing resistance to itraconazole and best treated with voriconazole. Computed tomography showed diffusely thickened small bowel with edematous change.


CONCLUSIONS
As GIB presents diagnostic challenges due to lack of specific features, this case emphasizes the importance of considering GIB in the differential diagnosis in patients presenting with fever, abdominal pain with fast-growing abdominal mass.
From the Department of General and Laparoscopic Surgery, Sabya General Hospital Jazan, 3261300, Kingdom of Saudi Arabia (AQA-N, LAK, IA-N, SA, YA-A, AA); and Department of Medical Radiation Sciences, Curtin University, Perth, 6845, Australia (ZS).
Awaji Qasim
AQ
Al-Naemi
Liaqat Ali
LA
Khan
Ibrahim
I
Al-Naemi
Khadija
K
Amin
Yahya Ali
YA
Athlawy
Akram
A
Awad
Zhonghua
Z
Sun
D015746:Abdominal Pain / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D000935:Antifungal Agents / Q000494:pharmacology / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D020091:Entomophthorales / Q000187:drug effects / Q000302:isolation & purification; D005334:Fever / Q000175:diagnosis / Q000382:microbiology; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000382:microbiology; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D065819:Voriconazole / Q000494:pharmacology / Q000627:therapeutic use*; D020096:Zygomycosis / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology
D000935:Antifungal Agents; D065819:Voriconazole