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Gastro-intestinal basidiobolomycosis in a 2-year-old boy: dramatic response to potassium iodide.

Authors:
Anahita Sanaei Dashti Amir Nasimfar Hossein Hosseini Khorami Gholamreza Pouladfar Mohammad Rahim Kadivar Bita Geramizadeh Masoomeh Khalifeh

Paediatr Int Child Health 2018 05 4;38(2):150-153. Epub 2016 Jul 4.

a Professor Alborzi Clinical Microbiology Research Center, Nemazee Hospital , Shiraz University of Medical Sciences , Shiraz , Iran.

Gastro-intestinal basidiobolomycosis (GIB) is a rare fungal infection caused by Basidiobolus ranarum. Treatment includes surgical resection and long-term antifungal therapy. A 2.5-year-old boy presented with a 10-day history of abdominal pain, fever and diarrhoea, and a palpable abdominal mass was detected. Resection was undertaken and histology confirmed basidiobolomycosis. Treatment with amphotericin B and itraconazole was commenced, but the infection progressed and spread to involve the intestines, liver, ribs and lung, and also the abdominal wall after 6 months, requiring four operative procedures. Because of unresponsiveness to amphotericin and itraconazole, oral potassium iodide was added which resulted in complete resolution of the infection. Potassium iodide is an essential component of the treatment of systemic B. ranarum.

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http://dx.doi.org/10.1080/20469047.2016.1186343DOI Listing
May 2018

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