Three Cases of Gastric Candidiasis

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2008;8(1):43-48.
Published online July 10, 2008.

위칸디다증 3예

강민정ㆍ심기남ㆍ정지민ㆍ하창윤ㆍ백수정ㆍ정해선ㆍ나윤주ㆍ김성은ㆍ정성애ㆍ유 권ㆍ문일환ㆍ정규원

이화여자대학교 의학전문대학원 내과학교실, 의과학연구소

Abstract

Candida albicans, most common of all, is found frequently as habitual saprophytic organism in digestive tract and the most common involvement is the esophagus. Gastric candidiasis may cause diffuse mucosal involvement or focal invasion of benign gastric ulcers. Gastric candidiasis is an uncommon disorder, but recently it has increased as a result of the greater use of chemotherapy, steroids, antibiotics, immunosuppressive drugs, and drugs that reduce the gastric acid production and of underlying disease such as diabetes mellitus, impairing gastric emptying, inducing gastric stasis which leads to secondary colonization of the fungus. The diagnosis was done by visualizing the characteristic budding yeast and pseudohyphae in endoscopic biopsies. We report here three cases of gastric candidiasis with improvement after treatment with proton pump inhibitor, Helicobacter pylori eradication and/or antifungal agent. (The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2008;8:43-48)

Key Words: Stomach, Candidiasis