Mucormycosis of Pouch of Douglas in a diabetic woman

oleh: Palash K Mondal, Santosh K Mondal, Tanmoy K Mondal, Puranjay Saha

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2012-01-01

Deskripsi

Mucormycosis is a severe fungal infection which is rare in clinical practice. This infection is usually acquired by inhalation; other portals of entry are ingestion and traumatic implantation, especially in immuno-compromised patients. Here, we present a case of mucormycosis in a 44-year-old diabetic woman. The patient had collection of fluid in the Pouch of Douglas (POD) and history of bleeding per vagina. Hysterectomy was done which showed a blackish serosal surface of the posterior uterus. Subsequent investigations revealed mycormycosis caused by Rhizopus oryzae (R. arrhizus) affecting the POD. Patient was treated with liposomal amphotericin B and is now keeping well.