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Al Jarie AA Hilal A, Al-Hayli MR, Sabr ZA, et al. Unusual cause of bleeding per rectum in children - Case report. Int J Cur Res Rev 2016; 8(10): 12-15.

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Article

Unusual presentation of Gastrointestinal Basidiobolomycosis in a 7-year-old Child – Case Report

1Department of Pediatrics, King Fahd Central Hospital, Jazan, Saudi Arabia

2Department of Radiology, King Fahd Central Hospital, Jazan, Saudi Arabia

3Department of Surgery, King Fahd Central Hospital, Jazan, Saudi Arabia

4Department of Histopathology, King Fahd Central Hospital, Jazan, Saudi Arabia


American Journal of Medical Case Reports. 2017, Vol. 5 No. 5, 131-134
DOI: 10.12691/ajmcr-5-5-8
Copyright © 2017 Science and Education Publishing

Cite this paper:
Hossain Ibrahim Ageel, Haider Mohammed Arishi, Ali Abdullah Kamli, Aladdin Mahmoud Hussein, Srinivas Bhavanarushi. Unusual presentation of Gastrointestinal Basidiobolomycosis in a 7-year-old Child – Case Report. American Journal of Medical Case Reports. 2017; 5(5):131-134. doi: 10.12691/ajmcr-5-5-8.

Correspondence to: Hossain  Ibrahim Ageel, Department of Pediatrics, King Fahd Central Hospital, Jazan, Saudi Arabia. Email: hibageel@yahoo.com

Abstract

Gastrointestinal basidiobolomycosis (GIB) is a rare fungal infection caused by basidiobolus ranarum. It has been recognized increasingly in the southern region of Saudi Arabia. Here, we report an unusual case of pediatric GIB with anorectal involvement in a 7-year-old Yemeni boy living in the south of Saudi Arabia. He had abdominal pain, abdominal distension, rectal bleeding, weight loss, perianal swelling and redness, and peripheral eosinophilia. The abdominal computed tomographic (CT) scan revealed significant wall thickness of the rectum. Histopathological findings of full thickness biopsy were consistent with basidiobolomycosis. The patient was treated with voriconazole and showed marked improvement. This case highlights the importance of considering GIB in children presenting with bleeding per rectum and eosinophilia associated with anorectal mass.

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