Zygomycosis and Candidiasis
of Gastric Ulcer in a Diabetic Patient
Reddy
T Sudhir, Krisha Prasad
A, Srinivasan VR, Murali Mohan Rao Vuda,
Narendra AMVR ,Kumar Ajit, Sundaram C
Nizam’s Institute of Medical Sciences Punjagutta,
Male aged 55 years,
known diabetic since 11 years, presented with generalized fever, weakness and vomitings of 1-week duration with altered sensorium of 3 days and breathlessness of 2 days. He did
not have seizure or loss of consciousness.
On examination
patient was in altered sensorium. There was no fever.
He was tachypnoeic and dehydrated. Tachycardia was noted. Bilateral diffuse crepitations were present in lungs.
Random blood sugar
was 584 mg%; ketones were detected in urine and
arterial blood gas analysis showed metabolic acidosis. A diagnosis of diabetic ketoacidosis was made and treated accordingly.
On further
evaluation he was found to be in septicemia with multi organ failure.