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A Fatal Case of Disseminated Mucormycosis Mimicking a Malignancy

  • Alexandre MalekEmail author
  • Cesar A. Arias
  • Luis Ostrosky
  • Stephanie Pankow
  • Audrey Wanger
  • Ben Barnett
Mycopathologia IMAGE

A 65-year-old female with multiple comorbidities (poorly controlled diabetes mellitus, cardiac arrhythmia, hypertension, chronic kidney disease, and remote diagnosis of intraductal papillary mucinous neoplasm of the pancreas status post-Whipple’s resection) presented with 5 days history of nonproductive cough, fever, shortness of breath, right chest pain, and headache after failing a course of oral amoxicillin. On admission, she was febrile and hypoxic with an oxygen saturation of 92% at room air. Physical examination was unremarkable. There is no significant exposure besides gardening.

Laboratory studies showed a white blood cell count of 20,000/μl (normal, 4000–10,000/μl) with neutrophils 83.6% (normal, 42–66%) and 8.7% lymphocytes (normal, 20–40%), a creatinine of 4.53 mg/dl (normal, 0.6–1.2 mg/dl) with blood urea nitrogen 66 mg/ml (normal, 7–20 mg/ml). Glucose level was 132 mg/dl (normal, 70–99 mg/dl) and hemoglobin A1c was 9.6% (normal, ≤ 5.6%). A chest X-ray showed right upper...

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Conflict of interest

The authors declare that they have no conflict of interests.

Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  • Alexandre Malek
    • 1
    Email author
  • Cesar A. Arias
    • 1
    • 2
    • 3
  • Luis Ostrosky
    • 1
  • Stephanie Pankow
    • 1
  • Audrey Wanger
    • 1
    • 4
  • Ben Barnett
    • 1
  1. 1.Division of Infectious Diseases, Department of Internal Medicine, Center for Antimicrobial Resistance and Microbial GenomicsUTHealth McGovern Medical SchoolHoustonUSA
  2. 2.Center for Infectious DiseasesUTHealth School of Public HealthHoustonUSA
  3. 3.Molecular Genetics and Antimicrobial Resistance Unit, International Center for Microbial GenomicsUniversidad El BosqueBogotaColombia
  4. 4.Department of Microbiology and Molecular GeneticsMcGovern School of MedicineHoustonUSA

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