Document Detail

Pseudomembranous gastritis: a complication from aspergillus infection.
MedLine Citation:
PMID:  12852516     Owner:  NLM     Status:  MEDLINE    
Pseudomembranes in the gastrointestinal tract are usually associated with the use of antibiotics, steroids, and severe immunosuppression. Reported cases of this condition have usually been confined to the large and small bowel. We discuss a 41-year-old woman who was transferred to The University of Mississippi Medical Center for severe upper gastrointestinal bleeding after admission to an outside facility following a motor vehicle collision. Upper endoscopy revealed an antral ulcer with fungal hyphae found in the biopsy specimen. Because of her exsanguinating hemorrhage from her gastric pathology a total gastrectomy was performed. Pathological inspection of the stomach revealed a green/brown pseudomembranous gastritis throughout the entire stomach. Aspergillus cultures confirmed the etiologic agent. The patient later fell into multiorgan system failure and died. Autopsy results showed no aspergillus in other organ systems. The current literature suggests that this is the first reported case of isolated pseudomembranous gastric aspergillosis.
Danny L Sanders; Ralph B Pfeiffer; Luis A Hashimoto; Charulochana Subramony; Favu Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  69     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-10     Completed Date:  2003-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  536-8     Citation Subset:  IM    
Department of Surgery, The University of Mississippi Medical Center, Jackson, Mississippi, USA.
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MeSH Terms
Antifungal Agents / therapeutic use
Aspergillosis / complications*,  therapy
Fatal Outcome
Gastrectomy / methods
Gastritis / complications,  microbiology*,  surgery
Gastrointestinal Hemorrhage / etiology*,  surgery
Reg. No./Substance:
0/Antifungal Agents

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