Colonic Basidiobolomycosis and Cytomegalovirus Colitis: Dual Infection as Rare Concurrence

Basidiobolomycosis is a rare infection caused by the saprophytic fungus Basidiobolus ranarum of the Zygomycetes family. Gastrointestinal basidiobolomycosis (GIB) is a newly recognized emerging and rare form of the disease with 46 cases reported in adults by 2018. Tissue invasive gastrointestinal Cytomegalovirus (CMV) infection is rare with <20% cases reported worldwide. Here we report a rare concurrence of colonic basidiobolomycosis and CMV colitis, which had not been entered in literature till date. A middle-aged man presented with pain abdomen for 1.5 month following blunt abdominal trauma. On examination mass per abdomen was palpated. Radiological investigations revealed a mass lesion with necrotic areas and air pockets in right hypochondriac region. Right hemicolectomy with ileo-colic anastomosis was performed. Histopathological evaluation confirmed diagnosis of Colonic basidiobolomycosis and cytomegalovirus colitis Co-infection. Accordingly, patient was put on antifungal and antiviral drugs and discharged after 21 days of treatment. The case is reported for its rarest occurrence.