Gastric Mucormycosis Followed by Traumatic Cardiac Rupture in an Immunocompetent Patient / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 99-103, 2016.
Article
Dans Coréen
| WPRIM
| ID: wpr-45544
ABSTRACT
Gastric mucormycosis is a rare and life-threatening fungal disease, caused by fungus in the order Mucorales. While rhino-cerebral and pulmonary forms are common, gastric mucormycosis is an uncommon site for the disease. We diagnosed gastric mucormycosis in a 41-year-old female who had severe multiple trauma, including cardiac rupture, due to a traffic accident. Eighteen days after hospitalization, she passed 800 mL of melena over one day. We performed upper esophagogastroduodenoscopy (EGD) and found a huge gastric ulcer with bleeding. Histopathological examination identified non-septated and right-angled branching fungal hyphae, and we diagnosed gastric mucormycosis. We recommended total gastrectomy to her but she refused the operation, so she was treated with liposomal amphotericin B for 53 days. After two months of treatment with liposomal amphotericin B, we again performed EGD and found a healed gastric ulcer. After four months, with another EGD, we found that the gastric mucormycosis was completely healed.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Ulcère gastrique
/
Polytraumatisme
/
Accidents de la route
/
Amphotéricine B
/
Méléna
/
Endoscopie digestive
/
Hyphae
/
Champignons
/
Gastrectomie
/
Lésions traumatiques du coeur
Limites du sujet:
Adulte
/
Femelle
/
Humains
langue:
Coréen
Texte intégral:
The Korean Journal of Gastroenterology
Année:
2016
Type:
Article
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