Gastrointestinal basidiobolomycosis in a patient suffering from duodenal ulcer with perforation: First case report from Italy.

Authors:
Maria Nardone
Maria Nardone
Campo di Marte Hospital
Elena de Carolis
Elena de Carolis
Università Cattolica del Sacro Cuore
Italy
Romano Mattei
Romano Mattei
Campo di Marte Hospital
Lucca | Italy
Maurizio Sanguinetti
Maurizio Sanguinetti
Università Cattolica del Sacro Cuore
Italy

New Microbiol 2019 Apr 17;42(2):125-128. Epub 2019 Apr 17.

Institute of Microbiology, Catholic University of the Sacred Heart, Polyclinic University Foundation Agostino Gemelli, IRCCS, Rome, Italy.

Gastrointestinal basidiobolomycosis (GIB), an unusual fungal infection caused by the fungus Basidiobolus ranarum, is rarely reported in the medical literature. GIB is difficult to diagnose because its clinical presentation is non-specific and has no identifiable risk factors. We report here the first case of GIB diagnosed in Italy in a patient suffering from a duodenal ulcer with perforation. The patient was successfully treated with itraconazole. The absence of non-specific signs and symptoms of GIB may delay a definitive diagnosis and treatment. A microbiological investigation should always be requested in order to reach a rapid and definitive diagnosis and to rule out other intestinal diseases.

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April 2019
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