An unusual cause of massive upper gastrointestinal bleeding - Gastric mucormycosis

Harish Guddati, Christopher Andrade, Peter Muscarella, Hilary I. Hertan

Research output: Contribution to journalArticle

Abstract

Mucormycosis of the gastrointestinal tract is a life threatening infection most commonly seen in patients with severe immunosuppression. A 42-year-old male with history of choriocarcinoma was admitted to the intensive care unit with septic shock. He developed massive hematemesis requiring upper endoscopy which showed multiple deep gastric ulcers. Due to uncontrollable bleeding he underwent an emergent gastrectomy which revealed necrotic ulcers with evidence of angioinvasion in the ulcer bed with mucor organisms. The PCR revealed the mucor to be Mycotypha microspora which is extremely rare. We discuss the challenges involved in the diagnosis and treatment of gastric mucormycosis.

Original languageEnglish (US)
Pages (from-to)88-91
Number of pages4
JournalOxford Medical Case Reports
Volume2019
Issue number2
DOIs
StatePublished - Feb 16 2019

Fingerprint

Mucormycosis
Mucor
Ulcer
Stomach
Microsporidia
Hemorrhage
Hematemesis
Choriocarcinoma
Stomach Ulcer
Gastrectomy
Septic Shock
Immunosuppression
Endoscopy
Intensive Care Units
Gastrointestinal Tract
Polymerase Chain Reaction
Infection
Therapeutics

ASJC Scopus subject areas

  • Parasitology
  • Microbiology
  • Infectious Diseases

Cite this

An unusual cause of massive upper gastrointestinal bleeding - Gastric mucormycosis. / Guddati, Harish; Andrade, Christopher; Muscarella, Peter; Hertan, Hilary I.

In: Oxford Medical Case Reports, Vol. 2019, No. 2, 16.02.2019, p. 88-91.

Research output: Contribution to journalArticle

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