000			03257nam a22003737a 4500
008			201229s20202020 xxu||||| |||| 00| 0 eng d
040			_aOvid MEDLINE(R)
099			_a33014480
245			_aGastric Mucormycosis: An Infection of Fungal Invasion into the Gastric Mucosa in Immunocompromised Patients.
251			_aCase Reports in Gastrointestinal Medicine. 2020:8876125, 2020.
252			_aCase Rep Gastrointest Med. 2020:8876125, 2020.
253			_aCase reports in gastrointestinal medicine
260			_c2020
260			_fFY2021
265			_sepublish
266			_d2020-12-29
520			_aPrimary gastric mucormycosis is a rare but potentially lethal fungal infection due to the invasion of Mucorales into the gastric mucosa. It may result in high mortality due to increased risk of complications in immunocompromised patients. Common predisposing risk factors to develop gastric mucormycosis are prolonged uncontrolled diabetes mellitus with or without diabetic ketoacidosis (DKA), solid organ or stem cell transplantation, underlying hematologic malignancy, and major trauma. Abdominal pain, hematemesis, and melena are common presenting symptoms. The diagnosis of gastric mucormycosis can be overlooked due to the rarity of the disease. A high index of suspicion is required for early diagnosis and management of the disease, particularly in immunocompromised patients. Radiological imaging findings are nonspecific to establish the diagnosis, and gastric biopsy is essential for histological confirmation of mucormycosis. Prompt treatment with antifungal therapy is the mainstay of treatment with surgical resection reserved in cases of extensive disease burden or clinical deterioration. We presented a case of acute gastric mucormycosis involving the body of stomach in a patient with poorly controlled diabetes and chronic renal disease, admitted with acute onset of abdominal pain. Complete resolution of lesion was noted with 16 weeks of medical treatment with intravenous amphotericin B and posaconazole. Copyright (c) 2020 Haider A. Naqvi et al.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Franklin Square Medical Center
651			_aMedStar Union Memorial Hospital
656			_aDepartment of Gastroenterology
656			_aMedicine
657			_aCase Reports
700			_aChaudhary, Fizah S
700			_aMills, Lawrence
700			_aNadeem Yousaf, Muhammad
700			_aNaqvi, Haider A
790			_aChaudhary FS, Mills L, Nadeem Yousaf M, Naqvi HA
856			_uhttps://dx.doi.org/10.1155/2020/8876125 _zhttps://dx.doi.org/10.1155/2020/8876125
858			_yNadeem Yousaf, Muhammad _yNaqvi, Haider A _uhttps://orcid.org/0000-0002-7979-8929 _uhttps://orcid.org/0000-0001-5722-533X _zhttps://orcid.org/0000-0002-7979-8929 _zhttps://orcid.org/0000-0001-5722-533X _zhttps://orcid.org/0000-0002-7979-8929 _zhttps://orcid.org/0000-0001-5722-533X
858			_yNadeem Yousaf, Muhammad _yNaqvi, Haider A _uhttps://orcid.org/0000-0002-7979-8929 _uhttps://orcid.org/0000-0001-5722-533X _zhttps://orcid.org/0000-0002-7979-8929 _zhttps://orcid.org/0000-0001-5722-533X _zhttps://orcid.org/0000-0002-7979-8929 _zhttps://orcid.org/0000-0001-5722-533X
942			_cART _dArticle
999			_c10878 _d10878