Original Works: Case ReportsLiverGastrointestinal Mucormycosis After Orthotopic Liver Transplantation Presenting as Femoral Nerve Palsy: A Case Report and Review of the Literature

- Liver transplant recipients are at risk for mucormycosis due to immunosuppression.
- The diagnosis of gastrointestinal mucormycosis is challenging as the symptoms are nonspecific.
- We report a case of gastrointestinal mucormycosis presenting as femoral neve palsy.
- Although usually iatrogenic, femoral neuropathy can also be a sign of infection.
- Empiric therapy is warranted for symptomatic patients at risk for mucormycosis.

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.