https://doi.org/10.4081/monaldi.2022.2418

Pulmonary embolism and gastric bleed with disseminated mucormycosis - treading dangerous waters

Vol. 93 No. 3 (2023)
Submitted: August 30, 2022
Accepted: October 28, 2022
Published: November 25, 2022
acute pulmonary embolism, COVID-19 complications, gastrointestinal mucormycosis, disseminated mucormycosis, cerebral mucormycosis
Abstract Views: 967
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Authors

Nishant Kumar Chauhan
https://orcid.org/0000-0003-3491-0275
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Ashish Agarwal
Department of Gastroenterology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Naveen Dutt
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Taruna Yadav
https://orcid.org/0000-0002-3644-6093
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Rishabh Kochar
rishkochar@gmail.com
https://orcid.org/0000-0003-0088-374X
Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.

Mucormycosis is an opportunistic infection seen in immunocompromised patients or in surgical and trauma settings with Mucorales wound contamination. In immunocompetent people, disseminated mucormycosis is uncommon. To ensure survival, patients with mucormycosis require early diagnosis and aggressive treatment using a multi-modality approach. We present a case of disseminated mucormycosis in an immunocompetent patient who also had pulmonary embolism and gastrointestinal bleeding. A recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, identified retrospectively by a positive IgM against SARS-CoV-2, was the only risk factor present. This report emphasizes the increased risk of mucormycosis and thromboembolic complications following a recent SARS-CoV-2 infection, as well as its successful treatment with medical therapy alone.

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How to Cite

Chauhan, Nishant Kumar, Ashish Agarwal, Naveen Dutt, Taruna Yadav, and Rishabh Kochar. 2022. “Pulmonary Embolism and Gastric Bleed With Disseminated Mucormycosis - Treading Dangerous Waters”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2418.
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