지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.8
- 수록면
- 134 - 139 (6page)
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초록· 키워드
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Neonatal gastrointestinal mucormycosis, a rare disease with a high mortality rate, shows a rapid progressive course in premature infants with an immature immune system. We report the case of a male neonate weighing 970 g, delivered via cesarean section at 27 weeks, as one of a pair of dizygotic twins. From the 7th day after birth, bile was seen to drain through the orogastric tube, and paralytic ileus was noted on performing an abdominal X-ray. Thus, oral feeding was discontinued because necrotizing enterocolitis (NEC) was highly suspected. On the 9th day after birth, a firm mass was palpable in left upper abdominal quadrant, but no pneumatosis intestinalis was observed on performing abdominal X-ray. Small bowel intussusception was suspected on performing abdominal ultrasonography. Based on these findings, an exploratory laparotomy was performed, and although no intussusception was found intraoperatively, we performed a partial gastrectomy and hemicolectomy due to the presence of necrotic changes and perforations of the stomach and colon. Postoperatively, he was observed to have hypotension with persistence of hemorrhage at the surgical site. He died on the 11th day after birth. Intraoperative histopathological examination of stomach and colon showed fungal aseptate hyphae with broad branching.
Gastrointestinal mucormycosis was confirmed based on findings of vascular involvement in the form of fungal hyphae and thrombosis in the transmural blood vessels. We report a case of an extremely low birth weight infant with neonatal gastrointestinal mucormycosis with an initial clinical presentation suggestive of intussusception and atypical NEC.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Sathe PA / 2015 / A survivor of neonatal intestinal mucormycosis / J Clin Diagn Res 9:ED24~ED25
Gupta R / 2011 / Neonatal lingual and gastrointestinal mucormycosis in a case of low anorectal malformation-a rare presentation / J Pediatr Surg 46:745~748
Ozturk MA / 2011 / Neonatal gastrointestinal mucormycosis in an asphyxiated premature newborn / Turk J Pediatr 53:705~708
Siu KL / 2004 / A rare cause of intestinal perforation in an extreme low birth weight infant--gastrointestinal mucormycosis:a case report / J Perinatol 24:319~321
Lowe CD / 2017 / Primary cutaneous mucormycosis in an extremely preterm infant successfully treated with liposomal amphotericin B / Pediatr Dermatol 34:e116~e119
Gupta R / 2011 / Neonatal lingual and gastrointestinal mucormycosis in a case of low anorectal malformation-a rare presentation / J Pediatr Surg 46:745~748
Ozturk MA / 2011 / Neonatal gastrointestinal mucormycosis in an asphyxiated premature newborn / Turk J Pediatr 53:705~708
Siu KL / 2004 / A rare cause of intestinal perforation in an extreme low birth weight infant--gastrointestinal mucormycosis:a case report / J Perinatol 24:319~321
Lowe CD / 2017 / Primary cutaneous mucormycosis in an extremely preterm infant successfully treated with liposomal amphotericin B / Pediatr Dermatol 34:e116~e119
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