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Abstract

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Article in Japanese

Case Report

A case of invasive pulmonary aspergillosis with a hemorrhagic duodenal ulcer

Satoshi Etori  Ryoji Nakano  Hanae Saji  Keisuke Hosokawa  Yoshiyuki Kenmotsu  Kumiko Sato 

Department of Respiratory Medicine, Kin-ikyo Chuo Hospital

ABSTRACT

Invasive aspergillosis is most commonly considered to be a pulmonary disease with secondary hematogenous dissemination. Previous autopsy studies conducted on patients with disseminated invasive aspergillosis have shown the gastrointestinal tract to be a frequent site of involvement. We experienced a case of invasive pulmonary aspergillosis in a male patient. The patient's condition worsened over a short period and he died. A pathological autopsy revealed aspergillus infection in the lung and duodenum. No other organ was involved. An ulcer with aspergillus was observed in the duodenum. The patient died of massive hemorrhage from the duodenal ulcer. The findings show that invasive aspergillosis can involve the gastrointestinal tract, causing fatal gastrointestinal bleeding.

KEYWORDS

Invasive pulmonary aspergillosis  Duodenal ulcer  Gastrointestinal bleeding 

Received 9 Dec 2016 / Accepted 3 Apr 2017

AJRS, 6(4): 287-290, 2017

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