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Case Reports
. 2023 Jan-Feb;28(1):59-61.
doi: 10.4103/jiaps.jiaps_97_22. Epub 2023 Jan 10.

Double Whammy Due to Coronavirus Disease-2019: Invasive Small Bowel Mucormycosis with Recent-Onset Diabetic Ketoacidosis Presenting as Diffuse Fecal Peritonitis in a 12-Year-Old Girl

Prashant K Zulpi  1 , Vijay K Kulkarni  1 , Hephzibah Rani  2 , Anil Halgeri  1 , Aditya Agnihotri  2
Affiliations
Case Reports

Double Whammy Due to Coronavirus Disease-2019: Invasive Small Bowel Mucormycosis with Recent-Onset Diabetic Ketoacidosis Presenting as Diffuse Fecal Peritonitis in a 12-Year-Old Girl

Prashant K Zulpi et al. J Indian Assoc Pediatr Surg. 2023 Jan-Feb.

Abstract

Mucormycosis is a fatal fungal infection occurring in immunocompromised patients. Small bowel mucormycosis is extremely rare with a high mortality rate. We report the case of a 12-year-old girl with postcoronavirus disease (COVID) recent-onset diabetic ketoacidosis, who presented with acute abdomen with fecal peritonitis. She was diagnosed with intestinal mucormycosis (post-COVID) and was treated successfully with surgical and antifungal management.

Keywords: Antifungal; bowel mucormycosis; diabetic ketoacidosis; fecal peritonitis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) X ray erect abdomen showing multiple air fluid levels (b) Multiple large perforations involving proximal ileum (bold arrow) (c) Areas of impending perforations in distal ileum (linear arrow) (d) Section shows ribbons of broad, aseptate fungal hyphae with obtuse angled branching.(bold triangle)
See this image and copyright information in PMC

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