Abdominal imaging findings in gastrointestinal basidiobolomycosis

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• 作者：Kristina T. Flicek (1)
  Holenarasipur R. Vikram (2)
  Giovanni D. De Petris (3)
  C. Daniel Johnson (4)
  
  1. Department of Surgery ; Mayo Clinic Hospital ; Phoenix ; AZ ; USA
  2. Division of Infectious Diseases ; Mayo Clinic Hospital ; Phoenix ; AZ ; USA
  3. Division of Anatomic Pathology ; Mayo Clinic ; Scottsdale ; AZ ; USA
  4. Department of Radiology ; Mayo Clinic ; 13400 E Shea Blvd ; Scottsdale ; AZ ; 85259 ; USA
  
• 关键词：Basidiobolomycosis ; Fungal infection ; Gastrointestinal infection ; Tumor simulator
• 刊名：Abdominal Imaging
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：40
• 期：2
• 页码：246-250
• 全文大小：912 KB
• 参考文献：1. El-Shabrawi MH, Kamal NM, Jouini R, et al. (2011) Gastrointestinal basidiobolomycosis: an emerging fungal infection causing bowel perforation in a child. J Med Microbiol 60(Pt 9):1395鈥?402 (Epub 2011 May 12) CrossRef
  2. Nemenqani D, Yaqoob N, Khoja H, et al. (2009) Gastrointestinal basidiobolomycosis: an unusual fungal infection mimicking colon cancer. Arch Pathol Lab Med 133(12):1938鈥?942
  3. Vikram HR, Smilack JD, Leighton JA, Crowell MD, De Petris G (2012) Emergence of gastrointestinal basidiobolomycosis in the United States, with a review of worldwide cases. Clin Infect Dis 54(12):1685鈥?691 (Epub 2012 Mar 22) CrossRef
  4. Geramizadeh B, Foroughi R, Keshtkar-Jahromi M, Malek-Hosseini S-A, Alborzi A (2012) Gastrointestinal basidiobolomycosis, an emerging infection in the immunocompetent host: a report of 14 patients. J Med Microbiol 61:1770鈥?774 CrossRef
  5. Saadah OI, Farouq MF, Daajani NA, Kamal JS, Ghanem AT (2012) Gastrointestinal basidiobolomycosis in a child: an unusual fungal infection mimicking fistulising Crohn鈥檚 disease. J Crohns Colitis 6(3):368鈥?72 (Epub 2011 Nov 17) CrossRef
  6. Pasha TM, Leighton JA, Smilack JD, et al. (1997) Basidiobolomycosis: an unusual fungal infection mimicking inflammatory bowel disease. Gastroenterology 112(1):250鈥?54 CrossRef
  7. Rabie ME, El Hakeem I, Al-Shraim M, Al Skini MS, Jamil S (2011) Basidiobolomycosis of the colon masquerading as stenotic colon cancer. Case Rep Surg 2011:685460 (Epub 2011 Oct 16)
  8. Nguyen BD (2000) CT features of basidiobolomycosis with gastrointestinal and urinary involvement. AJR Am J Roentgenol 174(3):878鈥?79 CrossRef
  9. Al-Shanafey S, AlRobean F, Bin Hussain I (2012) Surgical management of gastrointestinal basidiobolomycosis in pediatric patients. J Pediatr Surg 47(5):949鈥?51 CrossRef
  10. Alshehri AH, Alshehri A, Bawahab MA, et al. (2013) Basidiobolomycosis: an emerging fungal infection of the gastrointestinal tract in adults. Am J Infect Dis 9(1):1鈥? CrossRef
  11. AlSaleem K, Al-Mehaidib A, Banemai M, et al. (2013) Gastrointestinal basidiobolomycosis mimicking Crohn鈥檚 disease: case report and review of the literature. Ann Saudi Med 33(5):500鈥?04
  12. Pandit V, Rhee P, Aziz H, et al. (2014) Perforated appendicitis with gastroinestinal basidiobolomycosis: a rare finding. Surg Infect (Larchmt) 15(3):339鈥?42
  13. Al Asmi MM, Faqeehi HY, Alshahrani DA, Al-Hussaini AA (2013) A case of pediatric gastrointestinal basidiobolomycosis mimicking Crohn鈥檚 disease: a review of pediatric literature. Saudi Med J 34(10):1068鈥?072
  14. Zahir ST, Sharahjin NS, Kargar S (2013) Basidiobolomycosis: a mysterious fungal infection mimic small intestinal and colonic tumour with renal insufficiency and ominous outcome. BMJ Case Rep 26:2013
  15. Arjmand R, Karimi A, Sanaei Dashti A, Kadivar M (2012) A child with intestinal basidiobolomycosis. Iran J Med Sci 37(2):134鈥?36
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Gastroenterology
  Hepatology
  
• 出版者：Springer New York
• ISSN：1432-0509

文摘

Purpose To describe the abdominal imaging findings of patients with gastrointestinal Basidiobolus ranarum infection. Methods A literature search was performed to compile the abdominal imaging findings of all reported worldwide cases of gastrointestinal basidiobolomycosis (GIB). In addition, a retrospective review at our institution was performed to identify GIB cases that had imaging findings. A radiologist aware of the diagnosis reviewed the imaging findings in detail. Additional information was obtained from the medical records. Results A total of 73 GIB cases have been published in the medical literature. The most common abdominal imaging findings were masses in the colon, the liver, or multiple sites and bowel wall thickening. Initially, many patients were considered to have either a neoplasm or Crohn disease. We identified 7 proven cases of GIB at our institution, of which 4 had imaging studies (4 computed tomography [CT] examinations, 4 abdominal radiographs, and an upper gastrointestinal study). Imaging studies showed abnormalities in all 4 cases. Three-fourths of our study patients had an abdominal mass at CT. Two of 3 masses involved the kidneys and included urinary obstruction. All masses showed an inflammatory component with adjacent soft tissue stranding, with or without abscess formation. Conclusions Radiologists should consider GIB when a patient from an arid climate presents with abdominal pain, weight loss, and an inflammatory abdominal mass on CT. Abdominal masses of the colon or liver, bowel wall thickening, and abscesses are the most common imaging findings.