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Al Yazidi L, Al Sinani S, Al Adawi B, Al Riyami M, Wali Y, Al Rawas A, Al Musalhi B, Meis JF, Al Housni S, Al-Harrasi A, Al Hatmi AMS. Disseminated Basidiobolomycosis Caused by Basidiobolus omanensis in a Child with Acute Lymphoblastic Leukemia (ALL). Case Report and Literature Review. Mycopathologia 2024; 189:12. [PMID: 38231359 PMCID: PMC10794288 DOI: 10.1007/s11046-023-00820-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 11/26/2023] [Indexed: 01/18/2024]
Abstract
Basidiobolomycosis is an uncommon fungal infection caused by the genus Basidiobolus. In immunocompetent children, it usually causes cutaneous infection and rarely affects the gastrointestinal tract, and it is extremely rare for the disease to spread. The present study reports the first case of disseminated basidiobolomycosis caused by Basidiobolus omanensis in a child with acute lymphoblastic leukemia who died as a result of uncontrolled infection and multi-organ failure despite surgical and antifungal therapy with L-AMB and voriconazole. A review of the literature yielded 76 cases, including the current case with the majority of which were reported as invasive gastrointestinal infection. The median age was 4 years (61 male and 15 female) and the majority of these children were from the Middle East (80%), specifically Saudi Arabia (45%). Most patients were treated with systemic antifungal agents (mostly itraconazole and amphotericin B). Surgical intervention was done in 25% of these patients and the death rate was 12%.
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Affiliation(s)
| | | | - Badriya Al Adawi
- Department of Microbiology and Immunology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Marwa Al Riyami
- Department of Pathology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Yasser Wali
- Sultan Qaboos University Hospital, Muscat, Oman
| | | | - Buthaina Al Musalhi
- Department of Family Medicine, Sultan Qaboos University Hospital, Muscat, Oman
| | - Jacques F Meis
- Center of Expertise in Mycology, Radboud University Medical Center, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands
| | - Saif Al Housni
- Natural and Medical Sciences Research Center, University of Nizwa, Nizwa, Oman
| | - Ahmed Al-Harrasi
- Natural and Medical Sciences Research Center, University of Nizwa, Nizwa, Oman
| | - Abdullah M S Al Hatmi
- Center of Expertise in Mycology, Radboud University Medical Center, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
- Natural and Medical Sciences Research Center, University of Nizwa, Nizwa, Oman.
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Mohammed SA, Abdelsatir AA, Abdellatif M, Suliman SH, Elbasheer OMI, Abdalla AR, Widattalla AH, Tamimeldar SAM, Amin AA, Ahmed MH, Abdelsatir AM. Challenging Presentations of Seven Cases of Gastrointestinal Basidiobolomycosis in Sudan: Clinical Features, Histology, Imaging, and Recommendations. J Lab Physicians 2020; 12:281-284. [PMID: 33390679 PMCID: PMC7773445 DOI: 10.1055/s-0040-1721149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Basidiobolomycosis is a fungal infection caused by Basidiobolus ranarum which affects the skin and subcutaneous tissue and rarely the gastrointestinal tract. We report seven cases of gastrointestinal basidiobolomycosis with interesting clinical, radiological, and histological presentations. To our knowledge, this is the first case series of abdominal basidiobolomycosis to be reported from Sudan.
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Affiliation(s)
- Sawsan A Mohammed
- Department of Pathology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Mohamed Abdellatif
- Department of Pathology, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan
| | | | | | | | - Abubakr H Widattalla
- Department of Surgery, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Abdelgadir A Amin
- Pathology Department, Sudan Medical Specialization Board, Khartoum, Sudan
| | - Mohamed H Ahmed
- Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United Kingdom
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Al Haq AM, Rasheedi A, Al Farsi M, Mehdar A, Yousef Y, Rasheed K, Binyahib S. Gastrointestinal Basidiobolomycosis in pediatric patients: A diagnostic dilemma and management challenge. Int J Pediatr Adolesc Med 2020; 8:212-220. [PMID: 34401445 PMCID: PMC8356120 DOI: 10.1016/j.ijpam.2020.05.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Revised: 04/15/2020] [Accepted: 05/26/2020] [Indexed: 11/30/2022]
Abstract
Introduction Basidiobolomycosis is a rare fungal disease, lately appearing in the gastrointestinal system of pediatric patients. Their clinical presentation resembles that of lymphoma or granulomatous inflammations. This non-specific presentation makes Gastrointestinal Basidiobolomycosis (GIB) a diagnostic challenge. Methods We are reporting the largest series of pediatric GIB, from Saudi Arabia. 12 patients were diagnosed between January 2012 and December 2019, between the ages of 16 months and 8 years. Results The most common symptoms were fever and abdominal pain. Further examination revealed an abdominal mass. Biopsy of the mass was the mainstay of diagnosis, with histological findings of typical filamentous fungal hyphae and zygospores, surrounded by eosinophils. Conclusion Role of surgery was limited to establishing the diagnosis and dealing with complications. Antifungal medication was the cornerstone of treatment in all our patients. Three of our patients were exceptional with complications such as entero-cutaneal fistula, entero-enteric fistula and short bowel syndrome. These complications have not been previously reported. We have discussed the challenges related to their management. The diagnosis of GIB in pediatric patients with abdominal mass, needs a high index of suspicion. We believe outcome depends on the severity of disease, involvement of surrounding tissues and presence of complications at the time of diagnosis.
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Affiliation(s)
- Afaq Mobin Al Haq
- Surgery Department, Section of Pediatric Surgery, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.,King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Alaa Rasheedi
- Surgery Department, Section of Pediatric Surgery, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.,King Fahd General Hospital, Ministry of Health, Surgery Department, Jeddah, Saudi Arabia
| | - Muayed Al Farsi
- Surgery Department, Section of Pediatric Surgery, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.,Taibah University, Department of Pediatric Surgery, Madinah, Saudi Arabia
| | - Abeer Mehdar
- King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Jeddah, Saudi Arabia.,King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.,Radiology Department, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia
| | - Yasmin Yousef
- Surgery Department, Section of Pediatric Surgery, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.,King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Jeddah, Saudi Arabia.,King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Khalid Rasheed
- Surgery Department, Section of Pediatric Surgery, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.,King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Soliman Binyahib
- Surgery Department, Section of Pediatric Surgery, Ministry of National Guard-Health Affairs, Jeddah, Saudi Arabia.,King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Jeddah, Saudi Arabia.,King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
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