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Article in Japanese
Abstract
Case Report
A case of invasive pulmonary aspergillosis with a hemorrhagic duodenal ulcer
Satoshi Etori Ryoji Nakano Hanae Saji Keisuke Hosokawa Yoshiyuki Kenmotsu Kumiko Sato
Department of Respiratory Medicine, Kin-ikyo Chuo Hospital
ABSTRACT
Invasive aspergillosis is most commonly considered to be a pulmonary disease with secondary hematogenous dissemination. Previous autopsy studies conducted on patients with disseminated invasive aspergillosis have shown the gastrointestinal tract to be a frequent site of involvement. We experienced a case of invasive pulmonary aspergillosis in a male patient. The patient's condition worsened over a short period and he died. A pathological autopsy revealed aspergillus infection in the lung and duodenum. No other organ was involved. An ulcer with aspergillus was observed in the duodenum. The patient died of massive hemorrhage from the duodenal ulcer. The findings show that invasive aspergillosis can involve the gastrointestinal tract, causing fatal gastrointestinal bleeding.
KEYWORDS
Invasive pulmonary aspergillosis Duodenal ulcer Gastrointestinal bleeding
Received 9 Dec 2016 ／ Accepted 3 Apr 2017
AJRS, 6(4): 287-290, 2017
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