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Gastrointestinal zygomycosis caused by Mucor indicus in a patient with acute traumatic brain injury.
Authors:Maria Deja  Steffen Wolf  Steffen Weber-Carstens  Thomas-Nicolas Lehmann  Andreas Adler  Markus Ruhnke  Kathrin Tintelnot
Affiliation:Department of Anesthesiology and Intensive Care Medicine, Charité, Campus Virchow-Klinikum, Universit?tsmedizin, Berlin, Germany.
Abstract:We report a gastrointestinal infection caused by Mucor indicus in a patient with severe head injuries. Monotherapy with high-dose liposomal amphotericin B successfully eradicated the mucormycosis. Nevertheless, subsequently a hemicolectomy was necessary due to recurrent bleeding from a deep ulcer. Mucor indicus is an uncommon fungal pathogen, typically found in starters used for food fermentation. Reviewing other reports on Mucor indicus infections, primary gastrointestinal manifestations seem to be typical and indicate an oral route of infection.
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