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Korean J Helicobacter  Up Gastrointest Res > Volume 16(4); 2016 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2016;16(4):230-234.
DOI: https://doi.org/10.7704/kjhugr.2016.16.4.230    Published online December 10, 2016.
A Case of Gastric Mucormycosis Induced Necrotic Gastric Ulcer in Patients with Diabetic Ketoacidosis
Jun Ho Kim, Hyun Jeong Lee, Ju Hee Ha, Chul Byung Chae, Dong Wook Lee, Ho Joon Park, Jae Joon Lee, Ki Beom Park
Department of Internal Medicine, Busan Medical Center, Busan, Korea. imnotu-imi@hanmail.net
당뇨성케톤산증 환자에서 괴사성 위궤양을 유발한 위 털곰팡이증 1예
김준호, 이현정, 하주희, 채철병, 이동욱, 박호준, 이재준, 박기범
부산의료원 내과
Received: 24 August 2016   • Accepted: 5 December 2016
Abstract
Mucormycosis is a rare invasive disease with high mortality rates caused by fungi of the zygomycetes class and Mucorales order. Mucormycosis is manifested by a variety of clinical presentations according to the involved site and occurs in immunocompromised conditions such as diabetes mellitus and other conditions. Rhino-orbital-cerebral and pulmonary infection is known as commonly involved areas. Primary gastrointestinal mucormycosis is a very rare and life-threatening invasive fungal infection. Gastrointestinal mucormycosis may occur in any alimentary tract, with the stomach being most involved part. The early diagnosis and appropriate treatment including surgical debridement of involved tissues and antifungal agents is needed to improve survival rates. We report a case of gastric mucormycosis successfully treated with radical debridement and antifungal agents in a 45-year-old man with diabetic ketoacidosis.
Key Words: Mucormycosis; Diabetic ketoacidosis


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