Staring at the stars: a case of gastrointestinal basidiobolomycosis from the Indian subcontinent

Description  

A 24-year-old male patient from the hot and arid state of Rajasthan, India, presented with low-grade fever, dull aching lower abdominal pain, loss of weight and loss of appetite for 2 years. In addition, he had frequent episodes of colicky abdominal pain and vomiting. He was evaluated elsewhere prior to presenting at our hospital. A contrast-enhanced computed axial tomography of the abdomen revealed diffuse circumferential thickening of the ileocecal region (figure 1). A fine -needle aspiration cytology revealed features suggestive of non-specific inflammation. He did not respond to multiple courses of antibiotics and was taken up for laparotomy, in which the affected segment of intestine was resected. On gross examination, the resected segment of bowel showed multiple areas of necrosis and small perforations. Histopathological examination (HPE) revealed panmural inflammation of the intestine with eosinophilic microabscesses. Broad aseptate hyphae were noted and reported as mucormycosis. Postoperatively, he...

https://ift.tt/2oGXYHV