Invasive Gastric XXXX -a Case Report.

@entity1 @entity2583 @entity2003 @entity390 @entity6 @entity298 @entity13296 @entity988 @entity391 @entity448 @entity344 @entity645 @entity364 @entity158 @entity1332 @entity221 @entity356
@entity2583 is an opportunistic @entity364 that is associated with high mortality in immunocompromised individuals. While rhinocerebral and pulmonary forms are most common, primary @entity344 is very uncommon. The stomach is the most commonly affected organ followed by the colon and ileum in alimentary @entity13296 . We report a rare case of invasive @entity356 in a 50-year-old @entity6 gentleman with a history of chronic @entity988 presenting with complaints of @entity158 and distension of the abdomen for 6  days associated with @entity221 , @entity390 , @entity391 and @entity448 . At presentation, he was hemodynamically unstable, febrile with uncontrolled blood sugar level and had negative @entity645 serology. There was generalized guarding, @entity2003 and distension of the abdomen and investigations confirmed perforative @entity298 . Upon exploration, there was solitary large 4   *   4  cm size perforated ulcer in the gastric body with greenish, greyish sloughed out mucosa within. Wedge resection of the ulcer with primary closure was performed. Histopathology revealed aseptate, broad, obtuse angled fungal hyphae, and invasive @entity2583 was confirmed by special stains like Periodic acid-Schiff (PAS) and Gomori's @entity1332 (GMS). Very few cases of invasive @entity356 associated with uncontrolled @entity6 and @entity988 have been reported in the literature. Delayed presentation of the @entity1 along with rapid progression to @entity364 resulted in the case fatality despite early surgical intervention and critical care management.
