Gastrointestinal Mucormycosis After Orthotopic Liver Transplantation Presenting as Femoral Nerve Palsy: A Case Report and Review of the Literature |
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| Authors: | D. Gaut B.D. Cone A.L. Gregson V.G. Agopian |
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| Affiliation: | 1. Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California;2. Deparment of Pathology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California;3. Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California;4. Division of Liver and Pancreas Transplant Surgery, Department of Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California |
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| Abstract: | Mucormycosis has emerged as a major threat to transplant recipients with high morbidity and mortality. This infection most commonly presents with rhino-sino-orbital localization. Gastrointestinal mucormycosis is uncommon, with presenting symptoms usually abdominal in nature. Here, we describe the case of a liver transplant recipient who developed gastrointestinal mucormycosis with an initial manifestation of femoral nerve palsy, ultimately resulting in fungal dissemination and patient demise. This case highlights the challenges in making a timely diagnosis of mucormycosis, particularly in immunocompromised patients. |
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| Keywords: | Address correspondence to Daria Gaut MD Department of Medicine David Geffen School of Medicine at the University of California Los Angeles 10735 Lindbrook Drive Los Angeles California 90024. |
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