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Korean J Helicobacter  Up Gastrointest Res > Volume 13(1); 2013 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2013;13(1):50-54.
DOI: https://doi.org/10.7704/kjhugr.2013.13.1.50    Published online March 10, 2013.
A Case of Acute Emphysematous Gastritis Associated with Invasive Aspergillosis
Jong Pil Park, Sang Soo Bae, In Yub Baek, Hyeong Seok Kim, Bong Soo Kim, Hyang Eun Seo, Kyung Rak Son, Sang Hui Kwon
1Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. murmpyo@yahoo.co.kr
2Department of Pathology, Daegu Fatima Hospital, Daegu, Korea.
3Department of General Surgery, Daegu Fatima Hospital, Daegu, Korea.
침습성 아스페르길루스증에 의한 급성 기종성 위염 1예
박종필, 배상수, 백인엽, 김형석, 김봉수, 서향은, 손경락1, 권상휘2
대구파티마병원 내과, 병리과1, 외과2
Abstract
Emphysematous gastritis is a subtype of phlegmonous gastritis characterized by emphysematous change of the gastric wall. It is associated with infection of gas forming organism and is often fatal because of suppurative bacterial infection. Streptococci is the most commonly involved microorganism of emphysematous gastritis. Aspergillus is a very rare pathogen of this disease, because invasive aspergillosis often presents as pulmonary infections and rarely involves the gastro-intestinal tract. Treatment should be aimed to cover various organism using broad spectrum antibiotics, and sometimes aggressive surgical management may be needed to enhance survival. We report a case of severe emphysematous gastritis caused by invasive aspergillosis with a review of the literature.
Key Words: Emphysematous gastritis; Aspergillus; Invasive aspergillosis


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