Gastric Mucormycosis Presenting as Perforated Gastric Ulcer in Pregnancy: A Case Report.

Gastrointestinal mucormycosis is being diagnosed recently with increasing incidence. It has a subtle onset, but it is rapidly progressive, often overlooked until it runs its fatal course. We report a case of a 36 weeks primigravida, without any comorbids who presented with fever and abdominal pain. Clinical examination was unremarkable and initial labs revealed altered liver function tests and coagulation profile. A diagnosis of acute fatty liver of pregnancy was made and managed. Emergency lower segment Cesarean section was done, but the patient developed hematemesis post-operatively. As initial measures for hematemesis failed, an emergency laparotomy was done which revealed a perforated gastric ulcer and gastrectomy with jejunostomy was done. A biopsy was confirmed as mucormycosis. She was started on amphotericin B and broad spectrum antibiotics. After a prolonged course, despite surgical intervention, and antifungal therapy, the patient succumbed to the disease.

A study of rheumatological manifestations of leprosy.

BACKGROUND AND AIMS: Rheumatic manifestations are a common feature of leprosy. The present study was performed to assess the incidence of rheumatic manifestations in leprosy. METHODS: Seventy cases of leprosy attending the indoor and outdoor departments were studied. RESULTS: Out of the 70 cases studied, rheumatic manifestations were seen in 61.42% of cases: arthritis in 54.28% and soft tissue rheumatism in 17.14%. Enthesitis was seen in 2.84% of cases. The incidence of arthritis in lepra reactions was 57.57%. CONCLUSIONS: Musculoskeletal manifestations can occur at any time during the infection. Articular inflammation in leprosy usually occurs in reactive states, particularly erythema nodosum leprosum (ENL). Leprosy can present with arthritis as the first symptom.