Gastrointestinal mucormycosis due to Rhizopus microsporus following Streptococcus pyogenes toxic shock syndrome in an HIV patient: a case report

• Published in: BMC infectious diseases Vol. 20; no. 1; pp. 1 - 5
• Main Authors: Yinadsawaphan, Thanaboon, Ngamskulrungroj, Popchai, Chalermwai, Wipapat, Dhitinanmuang, Wutthiseth, Angkasekwinai, Nasikarn
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 10.11.2020; BioMed Central; BMC
• Subjects: Abdomen; Amphotericin B; Antibiotics; Bleeding; Bowel perforation; Care and treatment; Case Report; Case reports; Causes of; Complications and side effects; Deoxyribonucleic acid; Diagnosis; Diarrhea; DNA; Extremities; Fever; Fungal infections; Fungi; Gastrointestinal mucormycosis; Hemorrhage; Histopathology; HIV; HIV patients; Homology; Human immunodeficiency virus; Hyphae; Infections; Infectious diseases; Intestine; Intolerance; Ischemia; Laparotomy; Medical diagnosis; Mortality; Mucormycosis; Necrosis; Nucleotide sequence; Pain; Pathogens; Patients; Peritoneal fluid; Peritoneum; Peritonitis; Product safety; Rhizopus microsporus; Risk analysis; Risk factors; Sepsis; Septic shock; Sequence analysis; Signs and symptoms; Sporangia; Sporangiospores; Streptococcal toxic shock syndrome; Streptococcus; Streptococcus infections; Streptococcus pyogenes; Toxic shock syndrome; Vomiting; Thailand
• ISSN: 1471-2334; 1471-2334
• DOI: 10.1186/s12879-020-05548-9

Gastrointestinal (GI) mucormycosis is a rare and often deadly form of mucormycosis. Delayed diagnosis can lead to an increased risk of death. Here, we report a case of GI mucormycosis following streptococcal toxic shock syndrome in a virologically suppressed HIV-infected patient. Diagnosis of gastrointestinal mucormycosis can be delayed due to a lack of well-established predisposing factors and non-specific presenting symptoms. Further studies in risk factors for abdominal mucormycosis are needed.