A Case of Hemorrhagic Gastropathy in a Patient with Hemorrhagic Fever with Renal Syndrome

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2009;9(2):96-99.
Published online December 30, 2009.

출혈성 위병증을 동반한 신증후출혈열 환자 1예

김정욱ㆍ김범진ㆍ오형철ㆍ김재규

중앙대학교 의과대학 내과학교실

Abstract

Most patients with hemorrhagic gastritis have underlying predisposing conditions, such as alcohol abuse, portal hypertension, non-steroid anti-inflammatory drug use, and stress associated with hospitalization in an intensive care unit. Hemorrhagic fever with renal syndrome is caused by infection of the group of viruses belonging to the genus Hantavirus of the family Bunyaviridae, and characterized by fever, hemorrhage, and renal insufficiency. In these patients. hemorrhagic gastropathy can occurs. We recently encountered a 64- year-old women with acute hemorrhagic gastropathy associated with hemorrhagic fever with renal syndrome. She complaint epigastric pain, dyspepsia, nausea and poor oral intakes. Her laboratory findings revealed thrombocytopenia, but not coagulopathy and serious renal insufficiency. Gastroscopic findings in hypotensive phase showed severe acute hemorrhagic gastropathy. Her gastrointestinal symptoms and endoscopic findings improved 4 weeks after conservative management including total parenternal nutrtion. (The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2009; 9:96-99)

Key Words: Hemorrhagic gastropathy, Hemorrhagic fever with renal syndrome