Abulhamail Albraa S, Alsubaie Mohammed A, Bahawi Yara O
Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Pediatrics, King Faisal Specialist Hospital & Research Centre, Jeddah, Saudi Arabia.
Med Mycol Case Rep. 2025 Jul 17;49:100719. doi: 10.1016/j.mmcr.2025.100719. eCollection 2025 Sep.
Gastrointestinal basidiobolomycosis (GIB) is a rare fungal infection often misdiagnosed with other gastrointestinal disorders. We report a case of a 6-year-old boy from Saudi Arabia who presented with fever, abdominal pain, and weight loss, initially suspected to have inflammatory bowel disease. Despite antibiotics, symptoms persisted, leading to a GIB diagnosis with liver involvement. IV voriconazole improved his condition but caused visual hallucinations, managed by dose adjustments. This case underscores the need for early suspicion of GIB in endemic areas and highlights the importance of prompt diagnosis and a multidisciplinary approach to improve outcomes and reduce complications.
胃肠道蛙粪霉病（GIB）是一种罕见的真菌感染，常被误诊为其他胃肠道疾病。我们报告一例来自沙特阿拉伯的6岁男孩，他出现发热、腹痛和体重减轻，最初怀疑患有炎症性肠病。尽管使用了抗生素，症状仍持续存在，最终诊断为伴有肝脏受累的GIB。静脉注射伏立康唑改善了他的病情，但导致了视幻觉，通过调整剂量进行处理。该病例强调了在流行地区早期怀疑GIB的必要性，并突出了及时诊断和多学科方法对于改善预后和减少并发症的重要性。
