Mucorales PCR in blood as an early marker of invasive gastrointestinal mucormycosis might decrease the delay in treatment: A case report.

Critically ill patient Invasive mould infections Mucorales PCR Mucormycosis Opportunistic infections

Journal

Medical mycology case reports
ISSN: 2211-7539
Titre abrégé: Med Mycol Case Rep
Pays: Netherlands
ID NLM: 101598259

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 23 11 2022
revised: 08 12 2022
accepted: 08 12 2022
entrez: 2 1 2023
pubmed: 3 1 2023
medline: 3 1 2023
Statut: epublish

Résumé

We describe the fatal case of a patient with gastric perforation due to ischemia and necrosis of the stomach secondary to generalized vascular thrombosis following allogeneic hematopoietic cell transplantation. Histopathological examination of the resected stomach, spleen and omentum unexpectedly showed fungal hyphae suggestive of invasive mucormycosis. We retrospectively performed Mucorales PCR (MucorGenius®, PathoNostics, Maastricht, The Netherlands) in blood and tissue samples of this patient. The PCR was positive 16 days before time of death and 9 days before abdominal pain.

Identifiants

pubmed: 36590367
doi: 10.1016/j.mmcr.2022.12.001
pii: S2211-7539(22)00045-8
pmc: PMC9794765
doi:

Types de publication

Case Reports

Langues

eng

Pagination

8-12

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest.

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Auteurs

Robina Aerts (R)

Department of Internal Medicine, University Hospitals Leuven, Leuven, Belgium.
Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.

Greet De Vlieger (G)

Intensive Care Medicine, University Hospitals Leuven, Leuven, Belgium.
Department of Cellular and Molecular Medicine, Laboratory of Intensive Care Medicine, KU Leuven, Leuven, Belgium.

Yves Debaveye (Y)

Intensive Care Medicine, University Hospitals Leuven, Leuven, Belgium.
Department of Cellular and Molecular Medicine, Laboratory of Intensive Care Medicine, KU Leuven, Leuven, Belgium.

Halit Topal (H)

Department of Visceral Surgery, University Hospitals Leuven, Leuven, Belgium.

Gert De Hertogh (G)

Department of Pathology, University Hospitals Leuven, Leuven, Belgium.

Katrien Lagrou (K)

Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Department of Laboratory Medicine, University Hospitals Leuven, Leuven, Belgium.

Johan Maertens (J)

Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Department of Hematology, University Hospitals Leuven, Leuven, Belgium.

Classifications MeSH