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Case Reports
. 2023 Feb 13:31:e01709.
doi: 10.1016/j.idcr.2023.e01709. eCollection 2023.

A rare case of fatal gastrointestinal basidiobolomycosis

Mohammed Alsaeed  1   2 , Mohamed Mursi  1 , Abdelkarim Bahloul  1 , Assem Alrumeh  3 , Nahlah Arab  4 , Mohannad Alrasheed  5
Affiliations
Case Reports

A rare case of fatal gastrointestinal basidiobolomycosis

Mohammed Alsaeed et al. IDCases. .

Abstract

Basidiobolomycosis is an uncommon fungal infection caused by the environmental saprophyte Basidiobolus ranarum. Basidiobolomycosis typically manifests as a subcutaneous infection, and rarely affects the gastrointestinal tract. It lacks a distinct clinical manifestation, and most initial cases are incorrectly identified. We report a 69-year-old male patient who presented to the emergency department with history of abdominal pain, fever, and weight loss for 1 year that turned to be gastrointestinal basidiobolomycosis.

Keywords: Basidiobolomycosis; Eosinophilic colitis; Gastrointestinal Basidiobolomycosis; Splendore–hoeppli phenomenon.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
Enhanced Axial CT scan of Abdomen & Pelvis showed thickening of the transverse colon (orange arrow) with peri-colonic fat stranding (green arrow).
Fig. 2
Fig. 2
Enhanced Axial CT scan of Abdomen & Pelvis showed thickening of the descending colon with sub-colonic abscess (orange arrow).
Fig. 3
Fig. 3
Enhanced Axial CT scan of Abdomen & Pelvis showed severe thickening of the transverse and descending colon with peri-colonic abscess secondary to contained perforation.
Fig. 4
Fig. 4
H&S stain show thin wall and broad hyphae surrounded by eosinophilic material.
Fig. 5
Fig. 5
Periodic acid-Schiff (PSA) stain highlights fungal wall.
Fig. 6
Fig. 6
Gomori Methenamine Silver (GMS) stain highlights fungal Wall.
See this image and copyright information in PMC

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