{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:46:10Z","timestamp":1790703970113,"version":"4.1.0"},"reference-count":15,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,10]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Primary gastrointestinal mucormycosis is a rare disease associated with an increased mortality and is rarely reported in an immunocompetent host. We report the first case of mucormycosis-associated colonic perforation in a COVID-19 patient with a favourable outcome. A 48-year-old healthy male doctor in home isolation due to COVID-19 was admitted to COVID-19 intensive care unit when his symptoms deteriorated. The patient was put on non-invasive ventilation (NIV) using Bilevel Positive Airway Pressure (BiPAP) and treatment given as per existing hospital protocol. The patient improved clinically, and was discharged on day 10 of admission. Two days later, he presented with acute gastrointestinal symptoms to the emergency department. A diagnosis of perforation peritonitis was made, the patient was stabilised and sigmoid colectomy with descending colon colostomy was done. A diagnosis of gastrointestinal mucormycosis was made and injectable antifungal was started. The patient was discharged after his general conditions improved.<\/jats:p>","DOI":"10.1136\/bcr-2021-244096","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T12:25:55Z","timestamp":1625228755000},"page":"e244096","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Rare case of gastrointestinal mucormycosis with colonic perforation in an immunocompetent patient with COVID-19"],"prefix":"10.1136","volume":"14","author":[{"given":"Ravinder Pal","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Liver Transplant, Hepatobiliary and gastro intestinal surgery, Saroj Super Speciality Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishkarsh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Onco-Anesthesiology and Palliative Medicine, DRBRAIRCH, AIIMS, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanudeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Urogynaeoncology, Saroj Hospital and Heart Institute, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pain Medicine and Critical care, AIIMS, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,2]]},"reference":[{"key":"2025082710165836000_14.7.e244096.1","unstructured":"Clinical management protocol for COVID-19, 2020. Available: https:\/\/www.mohfw.gov.in\/pdf\/ClinicalManagementProtocolforCOVID19.pdf [Accessed : July 7, 2020]."},{"key":"2025082710165836000_14.7.e244096.2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.18.3.556-569.2005"},{"key":"2025082710165836000_14.7.e244096.3","doi-asserted-by":"publisher","DOI":"10.1086\/432579"},{"key":"2025082710165836000_14.7.e244096.4","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1093\/cid\/cir866","article-title":"Epidemiology and clinical manifestations of mucormycosis","volume":"54 Suppl 1","author":"Petrikkos","year":"2012","journal-title":"Clin Infect Dis"},{"key":"2025082710165836000_14.7.e244096.5","first-page":"140","article-title":"Gastrointestinal mucormycosis: an evolving disease","volume":"8","author":"Spellberg","year":"2012","journal-title":"Gastroenterol Hepatol"},{"key":"2025082710165836000_14.7.e244096.6","doi-asserted-by":"crossref","first-page":"E46","DOI":"10.1148\/radiol.2020200823","article-title":"Performance of radiologists in differentiating COVID-19 from Non-COVID-19 viral pneumonia at chest CT","volume":"296","author":"Bai","year":"2020","journal-title":"Radiology"},{"key":"2025082710165836000_14.7.e244096.7","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1007\/s11046-020-00462-9","article-title":"Fungal co-infections associated with global COVID-19 pandemic: a clinical and diagnostic perspective from China","volume":"185","author":"Song","year":"2020","journal-title":"Mycopathologia"},{"key":"2025082710165836000_14.7.e244096.8","doi-asserted-by":"crossref","first-page":"100971","DOI":"10.1016\/j.mycmed.2020.100971","article-title":"Invasive fungal diseases during COVID-19: we should be prepared","volume":"30","author":"Gangneux","year":"2020","journal-title":"J Mycol Med"},{"key":"2025082710165836000_14.7.e244096.9","article-title":"A national strategy to diagnose COVID-19 associated invasive fungal disease in the ICU","volume":"29","author":"White","year":"2020","journal-title":"Clin Infect Dis"},{"key":"2025082710165836000_14.7.e244096.10","doi-asserted-by":"crossref","first-page":"244","DOI":"10.4103\/ijo.IJO_3774_20","article-title":"Mucor in a viral land: a tale of two pathogens","volume":"69","author":"Sen","year":"2021","journal-title":"Indian J Ophthalmol"},{"key":"2025082710165836000_14.7.e244096.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2018.07.011"},{"key":"2025082710165836000_14.7.e244096.12","doi-asserted-by":"crossref","first-page":"264.e5","DOI":"10.1016\/j.ajem.2020.09.032","article-title":"Mucormycosis with orbital compartment syndrome in a patient with COVID-19","volume":"42","author":"Werthman-Ehrenreich","year":"2021","journal-title":"Am J Emerg Med"},{"key":"2025082710165836000_14.7.e244096.13","doi-asserted-by":"publisher","DOI":"10.1086\/590004"},{"key":"2025082710165836000_14.7.e244096.14","doi-asserted-by":"crossref","first-page":"e405","DOI":"10.1016\/S1473-3099(19)30312-3","article-title":"Global guideline for the diagnosis and management of mucormycosis: an initiative of the European Confederation of medical mycology in cooperation with the mycoses Study Group education and research Consortium","volume":"19","author":"Cornely","year":"2019","journal-title":"Lancet Infect Dis"},{"key":"2025082710165836000_14.7.e244096.15","doi-asserted-by":"crossref","first-page":"746","DOI":"10.5946\/ce.2020.180","article-title":"Rare and fatal gastrointestinal mucormycosis (zygomycosis) in a COVID-19 patient: a case report","volume":"53","author":"Monte Junior","year":"2020","journal-title":"Clin Endosc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:17:05Z","timestamp":1756315025000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":15,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,2]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-244096"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244096","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}