# Gastric Mucormycosis in a Critically Ill Patient Who Survived Without Surgery: A Case Report

## TL;DR

A rare case of gastric mucormycosis in a diabetic patient who survived without surgery highlights the importance of early diagnosis and treatment.

## Contribution

This case report presents a rare survival outcome of gastric mucormycosis without surgical intervention.

## Key findings

- The patient showed improvement with antifungal therapy and supportive care.
- The case emphasizes the need for high suspicion and timely biopsy for favorable outcomes.
- Gastric mucormycosis can be managed without surgery in some cases.

## Abstract

Gastrointestinal mucormycosis is an extremely rare but highly fatal manifestation of invasive fungal infections. We report a case of a 57-year-old man with preexisting type 2 diabetes mellitus who was admitted for diabetic ketoacidosis and acute hypoxic respiratory failure with a stay in the intensive care unit. The patient was found to be anemic. On further workup, he was found to have gastric mucormycosis. Despite the very high mortality rate, the patient showed remarkable improvement with antifungal therapy and supportive care. No surgery was performed as the patient refused surgical intervention. This rare case points to the need for high suspicion, timely biopsy, and quick intervention to have favorable outcomes.