A rare case of gastric mucormycosis in an immunocompetent patient

Abstract We report the case of a 23-year-old immunocompetent patient who presented at the emergency department of a Brazilian hospital with epigastric pain and fever. After an investigation that included a computed tomography scan and upper gastrointestinal endoscopy with biopsy, a diagnosis of mucormycosis was established. The patient exhibited favorable progress after surgery and antifungal therapy. Mucormycosis is a rare condition that usually affects immunocompromised patients, with a high mortality rate of up to 85%. Correct diagnosis and fast initiation of therapy are required to ensure improved patient prognosis.

摘要 本报告介绍一例23岁免疫功能正常患者，该患者因上腹痛伴发热就诊于巴西某医院急诊科。经计算机断层扫描（Computed Tomography）、上消化道内镜检查及活检等检查后，确诊为毛霉病（mucormycosis）。该患者经手术及抗真菌治疗后病情恢复良好。毛霉病是一种罕见疾病，通常累及免疫功能低下患者，死亡率高达85%。唯有及时明确诊断并尽早启动治疗，方能改善患者预后。