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An Unusual Case of Gastrointestinal Basidiobolomycosis Mimicking Colon Cancer; Literature and Review Publisher Pubmed



Mohammadi R1 ; Ansari Chaharsoghi M3 ; Khorvash F4 ; Kaleidari B5 ; Sanei MH6 ; Ahangarkani F2 ; Abtahian Z7 ; Meis JF8, 9 ; Badali H10
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Authors Affiliations
  1. 1. Infectious Diseases and Tropical Medicine Research Center, Department of Medical Parasitology and Mycology, School of Medicine Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Student Research Committee, Invasive Fungi Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  3. 3. Department of Infectious Diseases, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  8. 8. Department of Medical Microbiology and Infectious Diseases, Canisius-Wilhelmina Hospital, Nijmegen, Netherlands
  9. 9. Centre of Expertise in Mycology Radboudumc/CWZ, Nijmegen, Netherlands
  10. 10. Department of Medical Mycology/Invasive Fungi Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

Source: Journal de Mycologie Medicale Published:2019


Abstract

Gastrointestinal basidiobolomycosis (GIB), a rare fungal infection associated with high mortality, has been reported worldwide mainly from tropical and subtropical regions of Asia, USA, and Latin America. The clinical manifestations are highly diverse and non-specific depending on the underlying disease, but fever, abdominal pain, weight loss, diarrhea, constipation and chills have been observed. There are no prominent risk factors for GIB but climatic conditions and life style are related to this infection in arid and semi-arid regions. Therefore timely diagnosis and early treatment is a challenge. Herein, we present an unusual case of gastrointestinal basidiobolomycosis in a 54-year-old male, initially misdiagnosed as colon cancer. After follow-up, no evidence of relapse and the patient was successfully cured by liposomal amphotericin B. In addition, the differential diagnosis and histopathological findings are discussed with a review of the literature. © 2018 Elsevier Masson SAS
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