title: Difficult diagnosis of invasive fungal infection predominantly involving the lower gastrointestinal tract in acute lymphoblastic leukaemia.
abstract: Invasive fungal infections are most commonly seen in immunocompromised patients and usually affect the respiratory system. Gastrointestinal system involvement of mucormycosis and invasive aspergillosis is rarely reported in childhood. Here we describe a 5 year old boy with acute lymphoblastic leukaemia who developed invasive fungal infection particularly affecting the lower gastrointestinal system to emphasise the difficulties in diagnosis and management of invasive fungal infections in immunocompromised patients.
authors.affiliation: Department of Pediatric Infectious Diseases, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Gulhadiye
authors.initials: G
authors.lastname: Avcu
authors.affiliation: Department of Pediatric Hematology, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Deniz Yilmaz
authors.initials: DY
authors.lastname: Karapinar
authors.affiliation: Department of Pediatric Intensive Care, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Pinar
authors.initials: P
authors.lastname: Yazici
authors.affiliation: Department of Pediatric Intensive Care, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Muhterem
authors.initials: M
authors.lastname: Duyu
authors.affiliation: Department of Medical Microbiology, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Suleyha Hilmioglu
authors.initials: SH
authors.lastname: Polat
authors.affiliation: Department of Pediatrics, Tepecik Training and Research Hospital, Izmir 35110, Turkey.
authors.forename: Berna
authors.initials: B
authors.lastname: Atabay
authors.affiliation: Department of Medical Pathology, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Basak
authors.initials: B
authors.lastname: Doganavsargil
authors.affiliation: Department of Pediatric Intensive Care, Ege University, Faculty of Medicine, Izmir 35040, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Karapinar
keywords: Aspergillus flavus; Child; Gastrointestinal bleeding; Invasive aspergillosis; Leukaemia; Mucor