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. 2017 Jun 22;4(7):000628.
doi: 10.12890/2017_000628. eCollection 2017.

Fungal Gastroduodenitis

Sara Castelo Branco  1 , Ana Teresa Ferreira  1 , Sofia Saraiva  2 , Mário Jorge Silva  3 , Teresa Garcia  1
Affiliations

Fungal Gastroduodenitis

Sara Castelo Branco et al. Eur J Case Rep Intern Med. .

Abstract

Candida infection of the gastrointestinal (GI) tract is rare in the immunocompetent individual. In immunocompromised patients, it frequently involves the oesophagus, but extra-oesophageal involvement is uncommon. We report a case of primary and isolated gastroduodenal candidiasis. Upper GI endoscopy with biopsy of gastric mucosa was crucial for making the diagnosis. The patient showed transient improvement after therapy with fluconazole.

Learning points: Gastroduodenal candidiasis is rarely documented in the literature.Old age is an independent risk factor for fungal infection of the gastrointestinal tract.In this case, fungal gastroduodenitis was associated with gastroparesis.

Keywords: Candida spp; Fungal infection; Gastroduodenitis.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
Abdominal CT revealing marked dilation of the gastric cavity filled with liquid and gas
Figure 2
Figure 2
Upper gastrointestinal endoscopy showing the greyish appearance of the antrum mucosa
Figure 3
Figure 3
Histological examination: haematoxylin and eosin staining (400×) demonstrating spores and hyphae
Figure 4
Figure 4
Histological examination: Grocott staining (400×) revealed non-branched and septate hyphae
See this image and copyright information in PMC

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