Mendoza L, Vilela R, Voelz K, Ibrahim AS, Voigt K, Lee SC, 2015. Human fungal pathogens of Mucorales and Entomophthorales. Cold Spring Harb Perspect Med 5: a019562.
Pezzani MD et al., 2019. Gastrointestinal basidiobolomycosis: an emerging mycosis difficult to diagnose but curable: case report and review of the literature. Travel Med Infect Dis 31: 101378.
Ghadimi Moghadam A, Alborzi A, Eilami O, Bediee P, Pouladfar GHR, 2015. Zygomycosis in immunocompetent children in Iran: case series and review. Scholars J Appl Med Sci 3: 450–454.
Mohammadi R, Ansari Chaharsoghi M, Khorvash F, Kaleidari B, Sanei MH, Ahangarkani F, Abtahian Z, Meis JF, Badali H, 2019. An unusual case of gastrointestinal basidiobolomycosis mimicking colon cancer: literature and review. J Mycol Med 29: 75–79.
Zekavat OR, Abdolkarimi B, Pouladfar G, Fathpour G, Mokhtari M, Shakibazad N, 2017. Colonic basidiobolomycosis with liver involvement masquerading as gastrointestinal lymphoma: a case report and literature review. Rev Soc Bras Med Trop 50: 712–714.
Abdollahi A, Sadeghpour A, 2018. Gastrointestinal basidiobolomycosis: an unusual fungal disease. Acad J Surg 5: 21–23.
Mousavi MR, Pouladfar Gh R, Taherifard E, Badiee P, Anbardar MH, 2020. An infant with acute bloody diarrhea and gastrointestinal basidiobolomycosis: an unusual presentation of a rare disease. Trop Pediatr fmaa039. Available at: https://doi.org/10.1093/tropej/fmaa039.
Balkhair A, Al Wahaibi A, Al-Qadhi H, Al-Harthy A, Lakhtakia R, Rasool W, Ibrahim S, 2019. Gastrointestinal basidiobolomycosis: beware of the great masquerade: a case report. IDCases 18: e00614.
Al-Juaid A, Al-Rezqi A, Almansouri W, Maghrabi H, Satti M, 2017. Pediatric gastrointestinal basidiobolomycosis: case report and review of literature. Saudi J Med Med Sci 5: 167–171.
Sanaei Dashti A, Nasimfar A, Hosseini Khorami H, Pouladfar G, Kadivar MR, Geramizadeh B, Khalifeh M, 2018. Gastro-intestinal basidiobolomycosis in a 2-year-old boy: dramatic response to potassium iodide. Paediatr Int Child Health 38: 150–153.
Shaikh N, Hussain KA, Petraitiene R, Schuetz AN, Walsh TJ, 2016. Entomophthoramycosis: a neglected tropical mycosis. Clin Microbiol Infect 22: 688–694.
Esmaeili-Dooki MR, Moslemi L, Hadipoor A, Osia S, Fatemi SA, 2016. Pediatric intussusception in northern Iran: comparison of recurrent with non-recurrent cases. Iran J Pediatr 26: e3898.
Navarro O, Daneman A, 2004. Intussusception: part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol 34: 305–312.
Geramizadeh B, Heidari M, Shekarkhar G, 2015. Gastrointestinal basidiobolomycosis, a rare and under-diagnosed fungal infection in immunocompetent hosts: a review article. Iran J Med Sci 40: 90–97.
Darre T, Saka B, Mouhari-Toure A, Djiwa T, Pitche P, Napo-Koura G, 2018. Basidiobolomycosis in Togo: clinicopathological study of a series of 12 presumed cases. BMC Res Notes 11: 667.
Rodig SJ, Dorfman DM, 2001. Splendore-Hoeppli phenomenon. Arch Pathol Lab Med 125: 1515–1516.
Vilela R, Mendoza L, 2018. Human pathogenic Entomophthorales. Clin Microbiol Rev 31: e00014–18.
Gaastra W, Lipman LJ, De Cock AW, Exel TK, Pegge RB, Scheurwater J, Vilela R, Mendoza L, 2010. Pythium insidiosum: an overview. Vet Microbiol 146: 1–16.
Krajaejun T et al., 2006. Clinical and epidemiological analyses of human pythiosis in Thailand. Clin Infect Dis 43: 569–576.
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Gastrointestinal basidiobolomycosis (GIB) is a rare, life-threatening fungal infection affecting immunocompetent individuals in tropical and subtropical regions. A diverse presentation of GIB has been reported, but no report has yet been published on intussusception. We describe a 23-month-old immunocompetent boy from a subtropical area in Iran who presented with intussusception. Prolonged fever, an abdominal mass, hepatomegaly, high erythrocyte sedimentation rate, and peripheral eosinophilia strongly suggested GIB. Accordingly, GIB was diagnosed based on the characteristic histopathology (the Splendore-Hoeppli phenomenon) detected in a liver sample taken via biopsy. Exploratory laparotomy showed several organs, including the colon, gall bladder, liver, and abdominal wall, were involved. Antifungal therapy with trimethoprim/sulfamethoxazole, liposomal amphotericin B, a saturated solution of potassium iodide, and surgical resection of involved tissues were used with improved outcome. The presence of non-septate fungal hyphal elements in the colonic mucosa led to the thickening of the bowel wall, leading to secondary intussusception.
Authors’ addresses: Zahra Jafarpour and Gholamreza Pouladfar, Professor Alborzi Clinical Microbiology Research Center, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran, E-mails: zjafarpoor54@yahoo.com and pouladfar_ghr@hotmail.com. Alireza Dehghan, Radiology Department, Shiraz University of Medical Sciences, Shiraz, Iran, E-mail: alirezadehghan@sums.ac.ir. Mohammad Hossein Anbardar, Pathology Department, Shiraz University of Medical Sciences, Shiraz, Iran, E-mail: anbardarm@sums.ac.ir. Hamid Reza Foroutan, Department of Surgery, School of Medicine, Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran, E-mail: forotanh@yahoo.com.
Mendoza L, Vilela R, Voelz K, Ibrahim AS, Voigt K, Lee SC, 2015. Human fungal pathogens of Mucorales and Entomophthorales. Cold Spring Harb Perspect Med 5: a019562.
Pezzani MD et al., 2019. Gastrointestinal basidiobolomycosis: an emerging mycosis difficult to diagnose but curable: case report and review of the literature. Travel Med Infect Dis 31: 101378.
Ghadimi Moghadam A, Alborzi A, Eilami O, Bediee P, Pouladfar GHR, 2015. Zygomycosis in immunocompetent children in Iran: case series and review. Scholars J Appl Med Sci 3: 450–454.
Mohammadi R, Ansari Chaharsoghi M, Khorvash F, Kaleidari B, Sanei MH, Ahangarkani F, Abtahian Z, Meis JF, Badali H, 2019. An unusual case of gastrointestinal basidiobolomycosis mimicking colon cancer: literature and review. J Mycol Med 29: 75–79.
Zekavat OR, Abdolkarimi B, Pouladfar G, Fathpour G, Mokhtari M, Shakibazad N, 2017. Colonic basidiobolomycosis with liver involvement masquerading as gastrointestinal lymphoma: a case report and literature review. Rev Soc Bras Med Trop 50: 712–714.
Abdollahi A, Sadeghpour A, 2018. Gastrointestinal basidiobolomycosis: an unusual fungal disease. Acad J Surg 5: 21–23.
Mousavi MR, Pouladfar Gh R, Taherifard E, Badiee P, Anbardar MH, 2020. An infant with acute bloody diarrhea and gastrointestinal basidiobolomycosis: an unusual presentation of a rare disease. Trop Pediatr fmaa039. Available at: https://doi.org/10.1093/tropej/fmaa039.
Balkhair A, Al Wahaibi A, Al-Qadhi H, Al-Harthy A, Lakhtakia R, Rasool W, Ibrahim S, 2019. Gastrointestinal basidiobolomycosis: beware of the great masquerade: a case report. IDCases 18: e00614.
Al-Juaid A, Al-Rezqi A, Almansouri W, Maghrabi H, Satti M, 2017. Pediatric gastrointestinal basidiobolomycosis: case report and review of literature. Saudi J Med Med Sci 5: 167–171.
Sanaei Dashti A, Nasimfar A, Hosseini Khorami H, Pouladfar G, Kadivar MR, Geramizadeh B, Khalifeh M, 2018. Gastro-intestinal basidiobolomycosis in a 2-year-old boy: dramatic response to potassium iodide. Paediatr Int Child Health 38: 150–153.
Shaikh N, Hussain KA, Petraitiene R, Schuetz AN, Walsh TJ, 2016. Entomophthoramycosis: a neglected tropical mycosis. Clin Microbiol Infect 22: 688–694.
Esmaeili-Dooki MR, Moslemi L, Hadipoor A, Osia S, Fatemi SA, 2016. Pediatric intussusception in northern Iran: comparison of recurrent with non-recurrent cases. Iran J Pediatr 26: e3898.
Navarro O, Daneman A, 2004. Intussusception: part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol 34: 305–312.
Geramizadeh B, Heidari M, Shekarkhar G, 2015. Gastrointestinal basidiobolomycosis, a rare and under-diagnosed fungal infection in immunocompetent hosts: a review article. Iran J Med Sci 40: 90–97.
Darre T, Saka B, Mouhari-Toure A, Djiwa T, Pitche P, Napo-Koura G, 2018. Basidiobolomycosis in Togo: clinicopathological study of a series of 12 presumed cases. BMC Res Notes 11: 667.
Rodig SJ, Dorfman DM, 2001. Splendore-Hoeppli phenomenon. Arch Pathol Lab Med 125: 1515–1516.
Vilela R, Mendoza L, 2018. Human pathogenic Entomophthorales. Clin Microbiol Rev 31: e00014–18.
Gaastra W, Lipman LJ, De Cock AW, Exel TK, Pegge RB, Scheurwater J, Vilela R, Mendoza L, 2010. Pythium insidiosum: an overview. Vet Microbiol 146: 1–16.
Krajaejun T et al., 2006. Clinical and epidemiological analyses of human pythiosis in Thailand. Clin Infect Dis 43: 569–576.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1606 | 523 | 93 |
Full Text Views | 254 | 120 | 0 |
PDF Downloads | 108 | 10 | 0 |