Journal List > J Korean Soc Radiol > v.66(5) > 1087119

Yang, Cho, Kim, Shin, and Lee: Imaging Features of Gastric Invasive Aspergillosis: A Report of Two Cases

Abstract

Invasive aspergillosis is an opportunistic infection that usually occurs in immunocompromised patients. Although there are a few rare reports of isolated invasive aspergillosis affecting the small intestine, isolated or disseminated gastric invasive aspergillosis is extremely rare. Herein, we report 2 cases of gastric invasive aspergillosis in a 72-year-old woman and a 43-year-old man; the woman had been recovering from ruptured left posterior communicating artery aneurysm, which presented as emphysematous gastritis and the man from acute subdural haemorrhage in the intensive care unit, which presented as a pseudoaneurysm on CT imaging.

References

1. Prentice HG, Kibbler CC, Prentice AG. Towards a targeted, risk-based, antifungal strategy in neutropenic patients. Br J Haematol. 2000. 110:273–284.
2. Shah SS, Birnbaum BA, Jacobs JE. Disseminated aspergillosis inciting intestinal ischaemia and obstruction. Br J Radiol. 2001. 74:1145–1147.
3. Marterre WF Jr, Mong AT, Pulito AR. Locally invasive aspergillosis of the bowel. J Pediatr Surg. 1992. 27:1611–1613.
4. Eggimann P, Chevrolet JC, Starobinski M, Majno P, Totsch M, Chapuis B, et al. Primary invasive aspergillosis of the digestive tract: report of two cases and review of the literature. Infection. 2006. 34:333–338.
5. Yeom SK, Kim HJ, Byun JH, Kim AY, Lee MG, Ha HK. Abdominal aspergillosis: CT findings. Eur J Radiol. 2011. 77:478–482.
6. Denning DW, Stevens DA. Antifungal and surgical treatment of invasive aspergillosis: review of 2,121 published cases. Rev Infect Dis. 1990. 12:1147–1201.
7. Trésallet C, Seman M, Hoang C, Menegaux F. Gastric perforation from potential primary digestive aspergillosis. Surgery. 2010. 148:158–159.
8. Cherney CL, Chutuape A, Fikrig MK. Fatal invasive gastric mucormycosis occurring with emphysematous gastritis: case report and literature review. Am J Gastroenterol. 1999. 94:252–256.
9. Grayson DE, Abbott RM, Levy AD, Sherman PM. Emphysematous infections of the abdomen and pelvis: a pictorial review. Radiographics. 2002. 22:543–561.
10. Stevens DA, Kan VL, Judson MA, Morrison VA, Dummer S, Denning DW, et al. Infectious Diseases Society of America. Practice guidelines for diseases caused by Aspergillus. Clin Infect Dis. 2000. 30:696–709.
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