Pseudomembranous Gastritis: A Complication from Aspergillus Infection

Sanders, Danny L.; Pfeiffer, Ralph B.; Hashimoto, Luis A.; Subramony, Charulochana; Chen, Favu
June 2003
American Surgeon;Jun2003, Vol. 69 Issue 6, p536
Academic Journal
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.


Related Articles

  • Autopsies reveal ICU misdiagnoses.  // Patient Care;4/30/2001, Vol. 35 Issue 8, p8 

    Investigates retrospective medical charts and autopsy reports at the Cleveland Clinic Foundation to determine the degree of concordance between clinical causes of death and autopsy diagnoses in the intensive care unit. Reasons for the decline in autopsy rates; Number of patients autopsied after...

  • Avian Tuberculosis in Naturally Infected Lofts of Domestic Pigeons, Isolation, Molecular Identification and Study of Necropsy Findings. Mayahi, M.; Mosavari, N.; Esmaeilzadeh, S.; Parvandar Asadollahi, K. // Journal of Applied Research;2013, Vol. 11 Issue 3, p194 

    No abstract available.

  • CT pitfalls in emergency radiology: a chronically ruptured intra-cranial dermoid tumor mimicking pneumocephalus in an acute multi-trauma evaluation. Thomas Ptak // Emergency Radiology;Nov2007, Vol. 14 Issue 6, p453 

    Abstract  Traumatic rupture of an intracranial dermoid tumor is an unusual event. In this case, however, a ruptured intracranial dermoid is noted, but in the absence of clinical signs and symptoms. The lack of symptoms coupled with an abnormal cerebral computed tomography (CT)...

  • Akron General to begin work on $35M Stow wellness center. Mortland, Shannon // Crain's Cleveland Business;3/27/2006, Vol. 27 Issue 13, p11 

    The article reports that the company Akron General Health System is building a nearly $35 million health and wellness center in Stow. Doug Ribley, director of wellness and administrative services at the Health and Wellness Center in Bath said that the single-story, 96,403-square-foot center will...

  • Scrips costs cut by asthma review. Chauhan, Neil // GP: General Practitioner;2/16/2007, p52 

    In this article, the author describes how proactive asthma checks can save money and help patients. The author undertook a project during his Foundation Year 2 (F2) general practice placement at the Royal Docks Medical Centre in East London. It achieved an intermediate net saving of over...

  • Franciscan St. Francis Health Cancer Center.  // Indianapolis Business Journal;Cancer Care 2014, p14 

    The article offers information on the comprehensive services of the Franciscan St. Francis Health Cancer Center which focuses on cancer diagnosis, prevention, and treatment. The specialty areas of service of the health cancer center are cited which include second opinion clinic, aspire tobacco...

  • Theory-Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi-Experimental Study. Chaisson, Lelia H.; Katamba, Achilles; Haguma, Priscilla; Ochom, Emmanuel; Ayakaka, Irene; Mugabe, Frank; Miller, Cecily; Vittinghoff, Eric; Davis, J. Lucian; Handley, Margaret A.; Cattamanchi, Adithya // PLoS ONE;7/14/2015, Vol. 10 Issue 7, p1 

    Background: Tuberculosis (TB) remains under-diagnosed in many countries, in part due to poor evaluation practices at health facilities. Theory-informed strategies are needed to improve implementation of TB evaluation guidelines. We aimed to evaluate the impact of performance feedback and...

  • The Proposed Closing of the Armed Forces Institute of Pathology. Wilson, Michael L.; Reller, L. Barth // Clinical Infectious Diseases;10/1/2005, Vol. 41 Issue 7, p1003 

    The article focuses on the proposed disestablishment of the Armed Forces Institute of Pathology (AFIP). The AFIP is a triple-service agency within the U.S. Department of Defense and provides diagnostic, teaching, and research support to all branches of the U.S. military, the Veteran's...

  • Is necropsy a valid monitor of clinical diagnosis performance? Saracci, Rodolfo // BMJ: British Medical Journal (International Edition);10/12/91, Vol. 303 Issue 6807, p898 

    Examines the performance of necropsy in validating comparison between clinical and postmodern diagnoses. Evaluation on the sensitivity and specificity of clinical and postmodern diagnoses; Agreement and confirmation rates of validation; Factors affecting estimation of sensitivity and specificity.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics