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Title

Cecum Necrosis with Terminal Ileum Perforation Due to Invasive Fungal Infection in a Patient with Diabetes Mellitus and Acute Myeloid Leukemia: A Case Report

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Abstract

 Introduction: Immunosuppression conditions are the leading risk factors for opportunistic fungal infections. The clinical manifestation is related to the site of infection. Gastrointestinal (GI) mucormycosis is a rare form of this disease, even in immunosuppressed patients. Case Presentation: We report rare cecum necrosis with terminal ileum perforation resulting from infi, ltration of mucormycosis in the cecum wall and terminal ileum mesentery in a patient with diabetes mellitus and acute myeloid leukemia (AML). During chemotherapy for AML, the patient presented diarrhea followed by constipation, severe progressive abdominal pain, and fecaloid peritonitis. Perforation of the terminal ileum was observed during the surgery. Ileostomy, right hemicolectomy, and resection of necrotic tissue were performed, and bowel mucormycosis was confi, rmed on histologic examination. Unfortunately, the patient expired fi, ve days after surgery. Conclusions: Gastrointestinal mucormycosis is an uncommon infection with symptoms like abdominal pain, nausea, vomiting, and melena. The mortality of GI involvement is due to perforation, peritonitis, and GI bleeding.

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    APA: Copy

    ESLAMIAN, MOHAMMAD, Rabiee Rad, Mehrdad, Ghasempour Dabaghi, Ghazal, Goharian, Maryam, & Farhang, Amir. (2022). Cecum Necrosis with Terminal Ileum Perforation Due to Invasive Fungal Infection in a Patient with Diabetes Mellitus and Acute Myeloid Leukemia: A Case Report. ARCHIVES OF CLINICAL INFECTIOUS DISEASES, 17(2), 0-0. SID. https://sid.ir/paper/1076837/en

    Vancouver: Copy

    ESLAMIAN MOHAMMAD, Rabiee Rad Mehrdad, Ghasempour Dabaghi Ghazal, Goharian Maryam, Farhang Amir. Cecum Necrosis with Terminal Ileum Perforation Due to Invasive Fungal Infection in a Patient with Diabetes Mellitus and Acute Myeloid Leukemia: A Case Report. ARCHIVES OF CLINICAL INFECTIOUS DISEASES[Internet]. 2022;17(2):0-0. Available from: https://sid.ir/paper/1076837/en

    IEEE: Copy

    MOHAMMAD ESLAMIAN, Mehrdad Rabiee Rad, Ghazal Ghasempour Dabaghi, Maryam Goharian, and Amir Farhang, “Cecum Necrosis with Terminal Ileum Perforation Due to Invasive Fungal Infection in a Patient with Diabetes Mellitus and Acute Myeloid Leukemia: A Case Report,” ARCHIVES OF CLINICAL INFECTIOUS DISEASES, vol. 17, no. 2, pp. 0–0, 2022, [Online]. Available: https://sid.ir/paper/1076837/en

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