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CASE REPORT
Year : 2015  |  Volume : 12  |  Issue : 3  |  Page : 193-196

Visceral basidiobolomycosis: An overlooked infection in immunocompetent children


1 Department of Pediatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Pediatrics, Division of Pediatric Gastroenterology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
3 Department of Radiology, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Parkash Mandhan
Department of Pediatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.170218

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Visceral basidiobolomycosis is an unusual fungal infection of viscera caused by saprophyte Basidiobolus ranarum. It is very rare in healthy children and poses a diagnostic challenge due to the non-specific clinical presentation and the absence of predisposing factors. We report a case of gastrointestinal basidiobolomycosis in a 4-year-old healthy girl who presented with a short history of abdominal pain, bleeding per rectum, fever, and weight loss. The diagnosis was based on high eosinophilic count, classical histopathology findings of fungal hyphae (the Splendore-Hoeppli phenomenon), and positive fungal culture from a tissue biopsy. Fungal infection was successfully eradicated with a combined approach of surgical resection of the infected tissue and a well-monitored course of antifungal therapy. The atypical clinical presentation, diagnostic techniques, and the role of surgery in the management of a rare and lethal fungal disease in an immunocompetent child are discussed.


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