Fatal peritonitis caused by Rhizopus microsporus

Colonic Mucormycosis in Fistulizing Crohn's Disease

Gastrointestinal mucormycosis, a rare fatal fungal infection in an immunocompromised host, affects mainly the stomach. Colonic mucormycosis is infrequent and is associated with high mortality. Perianal involvement is seen in almost one-third of patients with Crohn's disease. Perianal Crohn's disease is a particularly debilitating form of the disease, which requires multidisciplinary care. It may also require profound immunosuppression with biological agents to control disease activity. Opportunistic infections can complicate the disease course in these patients. We present a case of a middle-aged female with perianal Crohn's disease on adalimumab who developed colonic mucormycosis causing a flare in her disease activity. This patient highlights the need to increase awareness about fungal infections as a cause of disease flare in inflammatory bowel disease.

Railway Infrastructure Classification and Instability Identification Using Sentinel-1 SAR and Laser Scanning Data

Satellite radar interferometry (InSAR) techniques have been successfully applied for structural health monitoring of line-infrastructure such as railway. Limited by meter-level spatial resolution of Sentinel-1 satellite radar (SAR) imagery and meter-level geolocation precision, it is still challenging to (1) categorize radar scatterers (e.g., persistent scatterers (PS)) and associate radar scatterers with actual objects along railways, and (2) identify unstable railway segments using InSAR Line of Sight (LOS) deformation time series from a single viewing geometry. In response to this, (1) we assess and improve the 3-D geolocation quality of Sentinel-1 derived PS using a 2-step method for PS 3-D geolocation improvement aided by laser scanning data; after geolocation improvement, we step-wisely classify railway infrastructure into rails, embankments and surroundings; (2) we recognize unstable rail segments by utilizing the (localized) differential settlement of rails in the normal direction (near vertical) which is yielded from the LOS deformation decomposition. We tested and evaluated the methods using 170 Sentinel-1a/b ascending data acquired between January 2017 and December 2019, over the Betuwe freight train track, in the Netherlands. The results show that 98% PS were associated with real objects with a significance level of 25%, the PS settlement measurements were generally in line with the in-situ track survey Rail Infrastructure aLignment Acquisition (RILA) measurements, and the standard deviations of the PS settlement measurements varied slightly with an average value of 6.16 mm.

Mucormycosis in patients with inflammatory bowel disease: case series and review of the literature

Mucormycosis is a rare and often fatal invasive fungal infection mostly seen in immune-compromised individuals. A high index of clinical suspicion is necessary, so that effective preemptive therapy can be started, as timely intervention is crucial. In this series we present three cases of invasive mucormycosis in patients with underlying inflammatory bowel disease that had received therapy with immunomodulators prior to the infection. All three had varied clinical manifestations. We also review the literature of invasive mucormycosis in patients with inflammatory bowel disease.

Gastrointestinal Mucormycosis following a Streptococcus pyogenes Toxic Shock Syndrome in a Previously Healthy Patient: A Case Report

Mucormycosis is an uncommon opportunistic infection and the gastrointestinal form is the rarest. Rhizopus sp. is the most frequent pathogen and infection occurs almost exclusively in immunocompromised patients. We describe the first case of intestinal mucormycosis occurring after a Streptococcus pyogenes toxic shock syndrome in a previously healthy patient caused by Rhizopus microsporus var. azygosporus.