Korean Journal of Gastrointestinal Endoscopy 1996;16(1): 82-87.
증례 : 식도 위장관 ; Mucormycosis 에 의한 위궤양 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Gastric Ulcer Associated with Mucormycosis )
강진경, 박인서, 김세규, 송시영, 박찬일, 이돈행, 권건호, 이상엽 (Jin Kyung Kang, In Suh Park, Se Kyu Kim, Si Young Song, Chan Il Park, Don Haeng Lee, Kun Ho Kwon and Sang Yup Lee)
Abstract
Mucormycosis is an uncommon, frequently fatal, opportunistic fungal infection. Rhinocerebral and pulmonary involvement are the most common forms and usually occur in immunecompromised patients. Gastrointestinal involvement is extremely rare, the stomach being the most frequently involved site among them. When gastric mucormycosis presents as an invasive fungal infection the prognosis is extremely poor. Alternatively when the fungus may colonize the gastric mucosa without invasion of the blood vessels, the prognosis is good. Early diagnosis and tirnely institution of aggressive treatment is essential for the patients with mucormycosis. We report a 72-year-old man of gastric mucormycosis confirmed by histologic examination of endoscopic biopsy specimen. The patient was admitted. to intensive care unit under the diagnosis of adult respiratory distress syndrome and sepsis. He has been suffered from 5 years of end stage renal disease and 4 months of pulmonary tuberculosis and managed by continuous ambulatory peritoneai dialysis and anti-tubereulosis medications. On the 5th hospital day, esophagogastroduodenoscopy was underwent to remove the pieces of thermometer accidentaly broken, which revealed the 1.0 cm ulcerative lesion on the posterior wall of the upper body of stomach. The base of ulcer was coated with whitish-yellow dirty exudates and slightly irregular and the margin was nodular. The mucosae were friable and easily bled with light touch. The histologic examination of biopsy specimen revealed the multiple non-septated fungal hyphae branching right-angle. (Kor J Gastrointest Endosc 16: 82-85, 1996)
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