Case Report

Two Rare Diseases, One Patient: A Case Report of Mucormycosis and Granulomatous Polyangiitis

Table 1

Laboratory data.

InvestigationValue

Complete blood count (CBC)
Hemoglobin13.0 grm/dl
White blood cells12.9 (109/L)
Platelets293,000

Inflammatory markers
C-reactive protein48.6 mg/l
Erythrocyte sedimentation rate (ESR)75 ml/hr

Renal function tests
Creatine1.8 mg/dl
Urea46 mg/dl
24-hour urinary protein0.7 gm per 24 hours
Egfr33 ml/min/73 m2

Autoimmune work up
c-ANCAPositive
p-ANCANegative
C32.1
C40.76
Antinuclear antibody (ANA)Negative

Miscellaneous
Glycated hemoglobin (HbA1c)5.3%
Blood cultureNo growth
COVID-19 polymerase chain reaction (PCR)Negative
Sputum for AFB gene expertMTB not detected
Hepatitis B and C by ELISANegative
HIV antigen/antibodyNegative

e-GFR; estimated glomerular filtration rate; c-ANCA; cytoplasmic-antineutrophilic cytoplasmic antibody, p-ANCA; perinuclear-antineutrophilic cytoplasmic antibody, MTB; mycobacterial tuberculosis, ELISA; enzyme linked immunosorbent assay, HIV; Human immunodeficiency virus.