Abstract
Basidiobolomycosis is an unusual fungal infection known for dermatological manifestations that affect immunocompetent young adult and rarely involves the gastrointestinal tract, during the past decade many cases have been reported in Saudi Arabia with diagnosis of gastrointestinal basidiobolomycosis, most of the reported cases were in children and majority came from southern region of Saudi Arabia and all were misdiagnosed initially as either IBD or granulomatous diseases or malignancy. GIB poses diagnostic difficulties due to nonspecific presentations and rarity and has been scarcely reported in medical literatures. GIB might be a life threatening infection. So, a high index of suspicion is warranted in any child or young adult with differential diagnosis of IBD, granulomatous disease and malignancy affecting GI tract especially those patients whom are residents in or came from southern region of Saudi Arabia. In this series which is the largest reported series in adult patient with GIB in this country, we describe 4 cases of GI basidiobolomycosis from southern Region of Saudi Arabia.
Highlights
Basidiobolus species are filamentous fungi that belong to the family basidiobolaceae, of the order entomophthorales, they are occasionally present as a commensal in the gastrointestinal tract of amphibians, reptiles, fish and mammals such as toads, turtles, chameleons, horses, dogs and bats and it is commonly found in soil and decaying vegetable matter (Greer and Friedman, 1966; Zahari et al, 1990; Gugnani, 1983)
Basidiobolomycosis is an unusual fungal infection known for dermatological manifestations that affect immunocompetent young adult and rarely involves the gastrointestinal tract, during the past decade many cases have been reported in Saudi Arabia with diagnosis of gastrointestinal basidiobolomycosis, most of the reported cases were in children and majority came from southern region of Saudi Arabia and all were misdiagnosed initially as either IBD or granulomatous diseases or malignancy
In this series which is the largest reported series in adult patient with GIB in this country, we describe 4 cases of GI basidiobolomycosis from southern Region of Saudi Arabia
Summary
Basidiobolus species are filamentous fungi that belong to the family basidiobolaceae, of the order entomophthorales, they are occasionally present as a commensal in the gastrointestinal tract of amphibians, reptiles, fish and mammals such as toads, turtles, chameleons, horses, dogs and bats and it is commonly found in soil and decaying vegetable matter (Greer and Friedman, 1966; Zahari et al, 1990; Gugnani, 1983). Basidiobolomycosis in general was recognized as the first human case of subcutaneous mycosis in Indonesia (Joe et al, 1956). Thereafter, start to be increasingly identified as one of the chronic subcutaneous fungal infections with most of the cases have been reported from tropical and subtropical regions (Sugar, 2010) and thought to be due to traumatic inoculation (Cameroon, 1990). Its etiologic role in gastrointestinal infections has been increasingly recognized in Saudi Arabia (Jarie et al, 2003; ElShabrawi et al, 2011; Hussein et al, 2007). To our knowledge 11 cases of GI basidiobolomycosis have been reported in Saudi Arabia: 10 cases in children and 1 case in young adult most of them came from southern region
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