Skip to main content

Advertisement

Log in

Gastric Mucormycosis Masquerading as Gastric Malignancy

  • Case report
  • Published:
Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Mucormycosis is an opportunistic fungal infection usually seen in immunocompromised patients. We report a case of gastric mucormycosis in an immune-competent lady that mimicked a gastric malignancy, presenting a diagnostic challenge. A high index of suspicion is required for the diagnosis and successful treatment of this potentially life-threatening condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Xu W, Zhou C, Zhang G, Wang H, Wang L, Guo J (2010) Repeating gastric biopsy for accuracy of gastric lymphoma diagnosis. Gastroenterol Nurs 33:313–317

    Article  CAS  PubMed  Google Scholar 

  2. Yoon SS, Coit DG, Portlock CS, Karpeh MS (2004) The diminishing role of surgery in the treatment of gastric lymphoma. Ann Surg 240:28–37

    Article  PubMed  PubMed Central  Google Scholar 

  3. Roden MM, Zaoutis TE, Buchanan WL, et al. (2005) Epidemiology and outcome of zygomycosis: a review of 929 reported cases. Clin Infect Dis 41:634–653

    Article  PubMed  Google Scholar 

  4. Prabhu RM, Patel R (2004) Mucormycosis and entomophthoramycosis: a review of the clinical manifestations, diagnosis and treatment. Clin Microbiol Infect 10:31–47

    Article  PubMed  Google Scholar 

  5. Richardson MD, Koukila-Kahkola P (2007) Rhizopus, Rhizomucor, Absidia and other agents of systemic and subcutaneous zygomycoses. In: PR M (ed) Manual of clinical microbiology. American Society for Microbiology, Washington, D.C., pp. 1839–1856

    Google Scholar 

  6. Ismail MH, Hodkinson HJ, Setzen G, Sofianos C, Hale MJ (1990) Gastric mucormycosis. Trop Gastroenterol 11:103–105

    CAS  PubMed  Google Scholar 

  7. Petrikkos G, Skiada A, Lortholary O, Roilides E, Walsh TJ and Kontoyiannis DP: Epidemiology and clinical manifestations of mucormycosis. Clin Infect Dis 2012;(Suppl 1): S23-S34

  8. Echo A, Hovsepian RV, Shen GK (2005) Localized cecal zygomycosis following renal transplantation. Transpl Infect Dis 7:68–70

    Article  CAS  PubMed  Google Scholar 

  9. Geramizadeh B, Modjalal M, Nabai S, et al. (2007) Gastrointestinal zygomycosis: a report of three cases. Mycopathologia 164:35–38

    Article  PubMed  Google Scholar 

  10. Spellberg B, Edwards J Jr, Ibrahim A (2005) Novel perspectives on mucormycosis: pathophysiology, presentation, and management. Clin Microbiol Rev 18:556–569

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Ghafur A, Shareek PS, Senthur NP, Vidyalakshmi PR, Ramasubramanian V, Parameswaran A, Thirunarayan MA, Gopalakrishnan R (2013) Mucormycosis in patients without cancer: a case series from a tertiary Care Hospital in South India. J Assoc Physicians India 61:11–14

    Google Scholar 

  12. Virk SS, Singh RP, Arora AS, Grewal JS, Puri H (2004) Gastric zygomycosis an unusual cause of massive upper gastrointestinal bleed. Indian J Gastroenterol 23(4):1467

  13. Lee JH, Ha HK, Yoo E, Yang SK, Min YI, Auh YH (2000) CT and sonographically guided biopsy in a patient with intestinal mucormycosis. Am J Roentgenol 175(1):129–131

  14. Shenoi S, Emery HM (2010) Successful treatment of invasive gastric mucormycosis in child with systemic lupus erythematosus. Lupus 19:646–649

    Article  CAS  PubMed  Google Scholar 

  15. Park YS, Lee JD, Kim TH, et al. (2002) Gastric mucormycosis. Gastrointest Endosc 56:904–905

    Article  PubMed  Google Scholar 

  16. Cherney CL, Chutuape A, Fikrig MK (1999) Fatal invasive gastric mucormycosis occurring with emphysematous gastritis: case report and literature review. Am J Gastroenterol 94:252–256

    Article  CAS  PubMed  Google Scholar 

  17. Chamilos G, Lewis RE, Kontoyiannis DP (2008) Delaying amphotericin B-based frontline therapy significantly increases mortality among patients with hematologic malignancy who have zygomycosis. Clin Infect Dis 47:503–509

    Article  PubMed  Google Scholar 

  18. Spellberg B, Ibrahim AS (2010) Recent advances in treatment of mucormycosis. Curr Infect Dis Rep 12(6):423–429

    Article  PubMed  PubMed Central  Google Scholar 

  19. Nithyanandam S, Jacob MS, Battu RR, Thomas RK, Correa MA, D’Souza O (2003) Rhino-orbito-cerebral mucormycosis. A retrospective analysis of clinical features and treatment outcomes. Indian J Ophthalmol 51:231–236

    PubMed  Google Scholar 

  20. Petrikkos G, Skiada A, Sambatakou H, et al. (2003) Mucormycosis: ten-year experience at a tertiary-care center in Greece. Eur J Clin Microbiol Infect Dis 22:753–756

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ramakrishnan Ayloor Seshadri.

Ethics declarations

Source of Funding

Nil.

Conflict of Interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Suhaildeen, K., Majhi, U., Seshadri, R.A. et al. Gastric Mucormycosis Masquerading as Gastric Malignancy. Indian J Surg Oncol 8, 407–410 (2017). https://doi.org/10.1007/s13193-016-0554-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-016-0554-9

Keywords

Navigation