Answer to the Clinical Challenges and Images in Gl: Image 2 (page 911): Healthcare-Associated Mucormycosis

摘要

Histopathology revealed necroinflammatory exudate with marked inflammation and broad aseptate fungal hyphae with right angle branching consistent with gastric mucormycosis. Staining for Helicobacter pylori was negative. Treatment with liposomal amphotericin B and micafungin was started. Repeated endoscopic samples were sent for fungal cultures on day 28 and failed to reveal organisms. Antifungals were switched to posaconazol after 1 month and completed 3 months. He has survived at 6 months of follow-up with no recurrence of bleeding.