Gastrointestinal Mucormycosis and Presumptive Vibriosis in a Welder, a Case Report

Abstract When iron homeostasis is disrupted in overload states, siderophilic pathogens may display increased virulence including Vibrio and Mucorales species, among others. We present a case of widely disseminated Mucormycosis presumed Vibriosis welder with severe sepsis unknown origin despite thorough evaluation. The diagnosis was not ascertained until the day patient’s passing, illustrating importance considering associated infections differential at-risk patients, such as welder, who developed elusive undifferentiated unresponsive to conventional therapy. A 50-year-old male two episodes acute gastrointestinal illness subacute distal foot pain after traveling coastal California raw oyster consumption. His progressed over 3 weeks leading hospitalization mixed septic cardiogenic shock. He initially improved cardiac support empiric treatment for ; however, his clinical status proceeded deteriorate once more. an abdomen, during emergent exploratory laparotomy, he found have disseminated, . After surgery, patient transitioned comfort measures passed away several hours later. History welding presenting should prompt consideration systemic evaluation, well pathogens, which otherwise remain potentially fatal if considered on diagnosis. This particular patients ongoing, failure stabilize standard-of-care comprehensive evaluation therapeutics.