Aruni Amaresh, Tandup Cherring, Chowdhury Anish, Roy Arindam, Jha Bhairavi
Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus. 2020 Dec 22;12(12):e12213. doi: 10.7759/cureus.12213.
Mucormycosis is a rare, life-threatening, angioinvasive opportunistic fungal infection. Most common sites involved are rhino cerebral, pulmonary, cutaneous followed by gastrointestinal. We report a successful management of rare gastrointestinal ileal mucormycosis with perforation peritonitis managed surgically. Later histopathology revealed the ileal mucormycosis with transmural necrotizing inflammation. Histopathological demonstration of the fungus in surgical specimens remains cornerstone of the diagnosis of mucormycosis in view of its non-specific symptoms, low isolation rates of mycological culture and lack of other rapid tests.
毛霉菌病是一种罕见的、危及生命的、血管侵袭性机会性真菌感染。最常受累的部位是鼻脑、肺部、皮肤，其次是胃肠道。我们报告了一例罕见的胃肠道回肠毛霉菌病伴穿孔性腹膜炎的成功手术治疗病例。随后的组织病理学显示回肠毛霉菌病伴透壁坏死性炎症。鉴于其非特异性症状、真菌培养分离率低以及缺乏其他快速检测方法，手术标本中真菌的组织病理学表现仍是毛霉菌病诊断的基石。
