FUNGAL INFECTIONS MASQUERADING AS OTHER SURGICAL CONDITIONS: A CASE SERIES AUTHORS

Abstract

Background: Fungal infections may present with signs and symptoms similar to more common surgical conditions, leading to diagnostic delays and inappropriate management.

Objective: To enhance clinical and therapeutic awareness of fungal infections mimicking surgical conditions and to highlight diagnostic challenges.

Methods: This case series presents seven patients with fungal infections initially misdiagnosed as other surgical conditions. Clinical presentation, investigations, treatment, and outcomes were documented.

Results: Cases ranged from localized subcutaneous swellings to necrotizing fasciitis and gangrene. Etiologies included Basidiobolus ranarum, Apophysomyces elegans, Rhizopus arrhizus, Aspergillus nidulans, eumycetoma coexisting with tuberculosis, and phaeohyphomycosis. Three patients died despite aggressive management.

Conclusion: Fungal infections should be considered in atypical, non-responding surgical cases, especially in immunocompromised individuals. Early diagnosis with targeted antifungal therapy is critical.