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KMID : 0931320130130010050
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 1 p.50 ~ p.54
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A Case of Acute Emphysematous Gastritis Associated with Invasive Aspergillosis
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Park Jong-Pil
Bae Sang-Soo
Baek In-Yub
Kim Hyeong-Seok
Kim Bong-Soo
Seo Hyang-Eun
Sohn Kyung-Rak
Kwon Sang-Hwy
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Abstract
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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.
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KEYWORD
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Emphysematous gastritis, Aspergillus, Invasive aspergillosis
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