<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992022000200087</article-id>
<article-id pub-id-type="doi">10.35366/109718</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Gastritis enfisematosa secundaria a mucormicosis gástrica en paciente con COVID-19. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Emphysematous gastritis secondary to gastric mucormycosis in a patient with COVID-19. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Islas Torres]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Luna]]></surname>
<given-names><![CDATA[Ana Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Moreno]]></surname>
<given-names><![CDATA[José Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón Muñoz]]></surname>
<given-names><![CDATA[Valeria Priscilla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamora Inzuna]]></surname>
<given-names><![CDATA[José Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibarra Trejo]]></surname>
<given-names><![CDATA[Albert Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente Hospital de Especialidades]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente Hospital de Especialidades]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>87</fpage>
<lpage>92</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992022000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992022000200087&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992022000200087&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la mucormicosis es una infección micótica invasiva con alta mortalidad, ocurre principalmente en pacientes inmunocomprometidos. Se caracteriza por vasculitis necrosante y la presencia de hifas ramificadas en ángulo recto. La forma gastrointestinal es una de las más raras, los síntomas son inespecíficos y sólo el 25% se diagnostica ante-mortem. El tratamiento consiste en antifúngico y desbridamiento quirúrgico urgente.  Caso clínico:  paciente masculino de 69 años con antecedente de diabetes mellitus tipo 2 acude con disnea, la prueba rápida de antígeno para SARS-CoV-2 resulta positiva. Durante su estancia presenta sepsis, sangrado gastrointestinal y neumoperitoneo en tomografía axial computarizada (TAC) abdominal. Se somete a laparotomía exploradora encontrando necrosis de la curvatura mayor del estómago, se le realiza gastrectomía vertical. El reporte histopatológico revela necrosis panmural asociada a trombosis arterial secundaria a Mucor sp., se inicia anfotericina B liposomal; sin embargo, el paciente desarrolla infecciones nosocomiales urinaria, pulmonar y fallece a los 29 días de su ingreso.  Conclusión:  la mucormicosis es una infección micótica emergente que requiere una alta sospecha para su diagnóstico. Los antifúngicos y el desbridamiento quirúrgico urgente por parte del cirujano general representan un pilar esencial en el tratamiento de esta entidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  mucormycosis is an invasive fungal infection with high mortality, which occurs mostly in immunocompromised patients. This disease is characterized by necrotizing vasculitis and the presence of aseptate hyphae with wide-angle branching. Gastrointestinal mucormycosis is one of the rarest, symptoms are nonspecific and only 25% of cases are diagnosed premortem. The treatment is based on antifungals and urgent surgical debridement.  Clinical case:  a 69 year-old male with history of type 2 diabetes presents with dyspnea, SARS-CoV-2 rapid antigen test turned out positive. During hospital stay the patient presents sepsis, gastrointestinal bleeding, and pneumoperitoneum on abdominal computed axial tomography (CT). Laparotomy is performed, in which necrosis along the greater curvature of the stomach is found, therefore a vertical gastrectomy is carried out. Histopathology report reveals panmural necrosis associated with arterial thrombosis secondary to Mucor sp., parenteral liposomal amphotericin B is initiated, however, the patient develops health-care associated pulmonary and urinary infections, decease is documented 29 days after admission.  Conclusion:  mucormycosis is a fungal emerging infection, which requires a high suspicion for diagnosis. Antifungal and surgical debridement by a general surgeon represents an essential measure in the treatment of this entity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mucormicosis gastrointestinal]]></kwd>
<kwd lng="es"><![CDATA[gastritis enfisematosa]]></kwd>
<kwd lng="es"><![CDATA[gastrectomía vertical]]></kwd>
<kwd lng="es"><![CDATA[COVID]]></kwd>
<kwd lng="es"><![CDATA[reporte de caso]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal mucormycosis]]></kwd>
<kwd lng="en"><![CDATA[emphysematous gastritis]]></kwd>
<kwd lng="en"><![CDATA[vertical gastrectomy]]></kwd>
<kwd lng="en"><![CDATA[COVID]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
</kwd-group>
</article-meta>
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