{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T17:07:04Z","timestamp":1794330424971,"version":"4.9.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T00:00:00Z","timestamp":1699920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Small bowel mucormycosis is a rare entity with few reports in the literature. Mortality rates secondary to necrosis and perforation remain above 85 %, with an increase in populations at risk noted.<\/jats:p>\n <\/jats:sec>\n \n Presentation of case:<\/jats:title>\n This is a case report of a survivor of penetrating trauma who sustained small bowel injuries and was managed with damage control surgery. He required relook laparotomies due to extensive contamination and subsequently developed progressive ischaemia and necrosis of areas of his small bowel - histology confirming mucormycosis. There were no apparent risk factors noted in this case. Early addition of Amphotericin B and prompt surgical management resulted in a positive outcome. The patient was discharged from the hospital successfully. No further complications were noted post-discharge.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Small bowel mucormycosis can be a challenging diagnosis and requires a high index of suspicion. The lack of traditional risk factors should not deter a surgeon from considering this diagnosis in trauma patients as the micro-invasive properties of this organism can result in unexpected gastrointestinal ischaemia. Favourable outcomes are associated with prompt surgical debridement, histopathological diagnosis, and appropriate antifungal therapy.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Gastrointestinal Mucormycosis is a diagnosis that should be considered in trauma patients with unusual patterns of ischaemia. Prompt therapy can result in positive outcomes.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109071","type":"journal-article","created":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T10:22:10Z","timestamp":1700389330000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Small bowel mucormycosis"],"prefix":"10.1097","volume":"113","author":[{"given":"Malini","family":"Bhana","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naadiyah","family":"Laher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan George","family":"McGrath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeyane Stephens","family":"Moeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-52-20260316","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.mmcr.2012.07.003","article-title":"\u201cWe are what we eat!\u201d Invasive intestinal mucormycosis: a case report and review of the literature","volume":"1","author":"Martinello,","year":"2012","journal-title":"Med. Mycol. Case Rep"},{"key":"R2-52-20260316","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1086\/432579","article-title":"Epidemiology and outcome of zygomycosis: a review of 929 reported cases","volume":"41","author":"Rodden,","year":"2005","journal-title":"Clin. Infect. Dis.: Off. Pub. Infect. Dis. Soc. Am"},{"key":"R4-52-20260316","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1093\/cid\/cir866","article-title":"Epidemiology and clinical manifestations of mucormycosis","volume":"51","author":"Petrikkos,","year":"2012","journal-title":"Clin. Infect. Dis"},{"key":"R5-52-20260316","doi-asserted-by":"crossref","first-page":"523","DOI":"10.3390\/microorganisms9030523","article-title":"Epidemiology of mucormycosis in India","volume":"9","author":"Prakash,","year":"2021","journal-title":"Microorganisms"},{"key":"R6-52-20260316","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s12876-020-01202-5","article-title":"Invasive intestinal mucormycosis in a 40-year old immunocompetent patient - a rarely reported clinical phenomenon: a case report","volume":"20","author":"Wotiye,","year":"2020","journal-title":"BMC Gastroenterol"},{"key":"R7-52-20260316","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.mmcr.2017.05.001","article-title":"Fatal haemorrhagic duodenal mucormycosis in a non-immunocompromised host: a case report","volume":"17","author":"Mungazi,","year":"2017","journal-title":"Med. Mycol. Case Rep"},{"key":"R8-52-20260316","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1093\/mmy\/myx101","article-title":"Challenges in the diagnosis and treatment of mucormycosis","volume":"56","author":"Skiada,","year":"2018","journal-title":"Med. Mycol"},{"key":"R9-52-20260316","first-page":"62","article-title":"Clinical practice guideline for the management of candidiasis: update by the Infectious Diseases Society of America","volume":"4","author":"Pappas,","year":"2016","journal-title":"Clin. Infect. Dis"},{"key":"R10-52-20260316","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1080\/1040841X.2022.2052795","article-title":"The cross-talk between mucormycosis, steroids and diabetes mellitus amidst the global contagion of COVID-19","volume":"49","author":"Dwivedi,","year":"2023","journal-title":"Crit. Rev. Microbiol"},{"key":"R11-52-20260316","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical case report (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223012002?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223012002?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:01:39Z","timestamp":1773655299000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109071"}},"subtitle":["An unexpected case in a penetrating trauma survivor"],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109071","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}