Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5728745 | Transplantation Proceedings | 2017 | 7 Pages |
â¢Liver transplant recipients are at risk for mucormycosis due to immunosuppression.â¢The diagnosis of gastrointestinal mucormycosis is challenging as the symptoms are nonspecific.â¢We report a case of gastrointestinal mucormycosis presenting as femoral neve palsy.â¢Although usually iatrogenic, femoral neuropathy can also be a sign of infection.â¢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.