Neonatal lingual and gastrointestinal mucormycosis in a case of XXXX -a rare presentation.

@entity1 @entity2583 @entity3166 @entity2379 @entity600 @entity1321 @entity1744
We report a 1.7 kg male @entity1 with a @entity600 treated at an outside facility and referred to us on postoperative day 11. At presentation, his upper abdomen was distended, and he had perianal mucoid discharge. The tongue had a blackish discoloration. An erect abdominal radiograph showed a few fluid-filled bowel loops in the upper abdomen with a gasless lower abdomen and pelvis, suggestive of @entity1744 . There were no specific radiological features of @entity3166 . He underwent laparotomy and bowel resection for perforated jejunum. Histopathology of the tissue specimen was suggestive of @entity2583 . Postoperatively, he received intravenous @entity2379 (liposomal) and was started on liquid enteral nutrition after 2 weeks. However, the anterior two thirds of his tongue gradually sloughed off. He is awaiting reconstruction of the tongue. The purpose of this report is to emphasize that physicians should have a high index of suspicion for oral and gastrointestinal tract @entity2583 in neonates with metabolic disturbances who present with a discolored oral mucosa and an abdominal mass with @entity1321 . Early diagnosis and an aggressive approach of combined medical and surgical treatment may improve the outcome of @entity1 with this potentially lethal invasive disease.
