19 October 2020>: Articles
A Cecal Mucormycosis Mass Mimicking Colon Cancer in a Patient with Renal Transplant: A Case Report and Literature Review
Unusual clinical course, Challenging differential diagnosis, Management of emergency care
Saleh Busbait A* , Zainab AlMusa B , Mohammed Al Duhileb A , Ayed A. Algarni B , Ameera Balhareth ADOI: 10.12659/AJCR.926325
Am J Case Rep 2020; 21:e926325
Table 1. Summary of reports on colonic mucormycosis in recipients of renal transplant in recent medical literature.
Age (years)/Sex | Morbidity | Time since renal Tx | Immuno-suppressor | Sites | Symptoms | Operation | Antifungal medication | Outcome | References | Year |
---|---|---|---|---|---|---|---|---|---|---|
57/M | HTN, DM | 2 months | Tacrolimus, MMF, steroids | Stomach, splenic colon, spleen | Abdominal pain, distention, constipation | Debridement of all involved organs | Itraconazole → Amphotericin B | Died on POD 8 | 18 | 2001 |
33/M | --- | 1 week | Cyclosporine, steroids | Cecum, ascending colon | Hematochezia | Transplant Nephrectomy on day 35 | Amphotericin B | Survived | 12 | 2001 |
43/F | --- | 8 years (first Tx) 13 weeks (second Tx) | Sirolimus, MMF, steroids | Cecum | Fever, abdominal pain, hematochezia | Amphotericin B for 6 weeks | Survived | 19 | 2005 | |
66/M | --- | Not stated | Tacrolimus, MMF | Cecum, terminal ileum | Fever, SOB, abdominal pain | Right hemicolectomy, end ileostomy, mucus fistula | Fluconazole | Died on POD 48 | 20 | 2014 |
64/ M | HTN, MDS | 11 years | Tacrolimus | Cecum | Abdominal pain, vomiting, diarrhea | Right hemicolectomy, end ileostomy, mucus fistula | Fluconazole → Amphotericin B | Died on POD 8 | --- | --- |
HTN – hypertension; DM – diabetes mellitus; MMF – mycophenolate mofetil; MDS – myelodysplastic syndrome; SOB – shortness of breath; Tx – transplant; POD – postoperative day. |