Journal of infection in developing countries · 2015
Gastric wall perforation secondary to presumed aspergillosis in a pediatric patient with aplastic anemia: A case report.
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Reyna-Figueroa Jesus, Luna-Aguilar Francisco Javier, Cardoso-Yah Gabriela, Rivera-Salgado Maria Irene, Limon-Rojas Ana Elena, Galindo-Delgado Patricia
Аннотация
Aspergillosis is an opportunistic fungal infection that may develop in immunocompromised patients with conditions such as leukemia or aplastic anemia. A rare case of stomach perforation following acute fungal gastritis in a 13-year-old female patient with aplastic anemia is reported herein. The patient had developed aplastic anemia without bone marrow fibrosis secondary to acute lymphoblastic leukemia and chemotherapy. The pathological examination revealed a large ischemic transmural perforation (9.5 × 9 cm) associated with fungal septic emboli. Fungal hyphae characteristics were compatible with those of Aspergillus spp. There are few reports identifying fungi as agents associated with gastric perforation. There is a need for early identification of the infectious agent.