Gastric wall perforation secondary to presumed aspergillosis in a pediatric patient with aplastic anemia: A case report

被引:1
作者
Reyna-Figueroa, Jesus [1 ]
Javier Luna-Aguilar, Francisco [2 ]
Cardoso-Yah, Gabriela [3 ]
Irene Rivera-Salgado, Maria [4 ]
Elena Limon-Rojas, Ana [3 ]
Galindo-Delgado, Patricia [5 ]
机构
[1] Cent South Hosp Petroleos Mexicanos, Pediat Infect Diseases, Mexico City, DF, Mexico
[2] Cent South Hosp Petroleos Mexicanos, Pediat Surg, Mexico City, DF, Mexico
[3] Cent South Hosp Petroleos Mexicanos, Pediat, Mexico City, DF, Mexico
[4] Cent South Hosp Petroleos Mexicanos, Pathol, Mexico City, DF, Mexico
[5] Cent South Hosp Petroleos Mexicanos, Pediat Hematol, Mexico City, DF, Mexico
来源
JOURNAL OF INFECTION IN DEVELOPING COUNTRIES | 2015年 / 9卷 / 04期
关键词
aspergillosis; gastric perforation; leukemia; aplastic anemia; MUCORMYCOSIS; GUIDELINES; INFECTION;
D O I
10.3855/jidc.5714
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Aspergillosis is an opportunistic fungal infection that may develop in immunocompromised patients with conditions such as leukemia or aplastic anemia. A rare case of stomach perforation following acute fungal gastritis in a 13-year-old female patient with aplastic anemia is reported herein. The patient had developed aplastic anemia without bone marrow fibrosis secondary to acute lymphoblastic leukemia and chemotherapy. The pathological examination revealed a large ischemic transmural perforation (9.5 x 9 cm) associated with fungal septic emboli. Fungal hyphae characteristics were compatible with those of Aspergillus spp. There are few reports identifying fungi as agents associated with gastric perforation. There is a need for early identification of the infectious agent.
引用
收藏
页码:431 / 434
页数:4
相关论文
共 20 条
  • [1] [Anonymous], 2011, BOMBAY HOSP J
  • [2] Gastric perforation associated with Candida infection
    Bollo, Jesus
    Carrilo, Elena
    Lupu, Ion
    Caballero, Ferran
    Trias, Manel
    [J]. GASTROENTEROLOGIA Y HEPATOLOGIA, 2009, 32 (07): : 499 - 501
  • [3] Choudhury Monisha, 2007, Trop Gastroenterol, V28, P81
  • [4] NOSOCOMIAL RHIZOPUS INFECTION (ZYGOMYCOSIS) IN CHILDREN
    DENNIS, JE
    RHODES, KH
    COONEY, DR
    ROBERTS, GD
    [J]. JOURNAL OF PEDIATRICS, 1980, 96 (05) : 824 - 828
  • [5] ASPERGILLUS-FUNGEMIA - REPORT OF 2 CASES AND REVIEW
    DUTHIE, R
    DENNING, DW
    [J]. CLINICAL INFECTIOUS DISEASES, 1995, 20 (03) : 598 - 605
  • [6] Assessment of the clinical utility of serial β-D-glucan concentrations in patients with persistent neutropenic fever
    Ellis, Michael
    Al-Ramadi, Basel
    Finkelman, Malcolm
    Hedstrom, Ulla
    Kristensen, Jorgen
    Ali-Zadeh, Hussein
    Klingspor, Lena
    [J]. JOURNAL OF MEDICAL MICROBIOLOGY, 2008, 57 (03) : 287 - 295
  • [7] Gastric perforation with Candida tropicalis invasion in a previously healthy girl
    Faure-Fontenla, MA
    Bracho-Blanchet, E
    Yanez-Molina, C
    Barragan-Tame, L
    [J]. MYCOSES, 1997, 40 (5-6) : 175 - 177
  • [8] Empiric Antifungal Therapy in Patients with Febrile Neutropenia
    Ferrara, Jenna J.
    MacDougall, Conan
    Gallagher, Jason C.
    [J]. PHARMACOTHERAPY, 2011, 31 (04): : 369 - 385
  • [9] Multiple gastric perforations in an immunodepressed child
    Franciosi, CM
    Romano, F
    Caprotti, R
    Uggeri, F
    [J]. SURGERY, 2002, 131 (06) : 685 - 686
  • [10] A Rare Cause of Gastric Perforation-Candida Infection: A Case Report and Review of the Literature
    Gupta, Nalini
    [J]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2012, 6 (09) : 1564 - 1565