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KMID : 0931320160160040230
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대한상부위장관.헬리코박터학회지
2016 Volume.16 No. 4 p.230 ~ p.237
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A Case of Gastric Mucormycosis Induced Necrotic Gastric Ulcer in Patients with DiabeticKetoacidosis
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Kim Jun-Ho
Lee Hyun-Jeong
Ha Ju-Hee
Chae Chul-Byung
Lee Dong-Wook
Park Ho-Joon
Lee Jae-Joon
Park Ki-Beom
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Abstract
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Mucormycosis is a rare invasive disease with high mortality rates caused by fungi of the zygomycetes class and Mucorales order. Mucormycosis is manifested by a variety of clinical presentations according to the involved site and occurs in immunocompromised conditions such as diabetes mellitus and other conditions. Rhino-orbital-cerebral and pulmonary infection is known as commonly involved areas. Primary gastrointestinal mucormycosis is a very rare and life-threatening invasive fungal infection. Gastrointestinal mucormycosis may occur in any alimentary tract, with the stomach being most involved part. The early diagnosis and appropriate treatment including surgical debridement of involved tissues and antifungal agents is needed to improve survival rates. We report a case of gastric mucormycosis successfully treated with radical debridement and antifungal agents in a 45-year-old man with diabetic ketoacidosis.
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KEYWORD
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Mucormycosis, Diabetic ketoacidosis
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