Combined mucormycosis and candidiasis of the cecum presenting as a right iliac fossa mass in a patient with chronic kidney disease

A combined infection with mucorales and candida is described involving the cecum in a patient with chronic kidney disease stage V, who was referred to us with history of diarrhea and abdominal pain of 2 weeks duration and had been found to have a tender mass in the right iliac fossa. Colonoscopy revealed an ulcerated and inflamed cecum and the biopsy from the ulcers showed a mixed infection with mucorales and candida. This case is reported because of the unusual site of presentation and the presence of mixed fungal infection. To our knowledge, only one case of mucormycosis in an adult, presenting as a mass (appendiceal mass), has been reported [Ter Borg F, Kuijper EJ, van der Lelie H. Fatal mucormycosis presenting as an appendiceal mass with metastatic spread to the liver during chemotherapy-induced granulocytopenia. Scand J Infect Dis 1990; 22(4): 499-501].