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Case Reports
. 2012 Jul-Aug;18(4):282-4.
doi: 10.4103/1319-3767.98438.

Giant fungal gastric ulcer in an immunocompetent individual

Praveer Rai  1 , Sunil B Chakraborty
Affiliations
Case Reports

Giant fungal gastric ulcer in an immunocompetent individual

Praveer Rai et al. Saudi J Gastroenterol. 2012 Jul-Aug.

Abstract

Candida infection of gastrointestinal tract is frequent in immunocompromised patients and rare in an otherwise healthy person in whom no permissive factor is present. Herein is a case report on 25-year-old woman, 2 months postpartum, with fungal gastric ulcer with invasion leading to fungemia. She developed fever and anemia. Gastric biopsy and blood culture both showed growth of Candida albicans. The patient responded well to parenteral amphotericin B. This supports the hypothesis of invasion of Candida from gastric ulcer into blood.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Endoscopy showing large ulcer with slough at base in lesser curvature of stomach
Figure 2
Figure 2
Photomicrograph showing granulation tissue, numerous yeast (yellow arrow), and pseudohyphal fungal forms (block blue arrow) on Periodic acid-Schiff stain consistent with Candida albicans
Figure 3
Figure 3
Endoscopy showing a healed ulcer
See this image and copyright information in PMC

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