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Acta Médica Peruana

On-line version ISSN 1728-5917


VARGAS HERRERA, Natalia et al. Disseminated mucormycosis in a diabetic patient: a case report. Acta méd. Peru [online]. 2019, vol.36, n.4, pp.287-290. ISSN 1728-5917.

Mucormycosis is a highly lethal fungal infection occurring in patients with some degree of immunosuppression. The rhinocerebral form is the most frequent presentation. This is the first report in Peru of a case of disseminated mucormycosis in a patient with diabetic ketoacidosis. This is a 47-year-old diabetic male subject who was referred from the Amazon jungle and presented with respiratory insufficiency receiving mechanical ventilation. On admission, the patient had leukocytosis, metabolic acidosis with high anion gap, hyperglycemia, and hypoalbuminemia. Soon afterwards, the patient underwent surgery because of acute abdomen, and the anatomopathological examination revealed necrosis and hollow viscus perforation, and he ultimately died. At this time, he was receiving amphotericin B deoxycholate. Straight angle hyphae compatible with mucormycosis were found in stomach, intestine, and lungs.

Keywords : Mucormycosis; Mucorales; Zygomycosis; Diabetic ketoacidosis.

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