A Case of Isolated Invasive Aspergillus Colitis Presenting with Hematochezia in a Nonneutropenic Patient with Colon Cancer
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Gastrointestinal invasive aspergillosis is often reported as part of a disseminated infection, and rarely as an isolated organ infection. Isolated invasive Aspergillus colitis is very rare, being observed only in patients with hematological malignancy and neutropenia. We encountered an unusual case of isolated invasive Aspergillus colitis presenting with hematochezia in a nonneutropenic patient with colon cancer. Fungal hyphae with surrounding inflammatory cells and mucosal necrosis were observed during the histological examination of a biopsy sample obtained at endoscopy. This case indicates that isolated invasive Aspergillus colitis may develop in a variable context of immunosuppression.
Abstract
Gastrointestinal invasive aspergillosis is often reported as part of a disseminated infection, and rarely as an isolated organ infection. Isolated invasive Aspergillus colitis is very rare, being observed only in patients with hematological malignancy and neutropenia. We encountered an unusual case of isolated invasive Aspergillus colitis presenting with hematochezia in a nonneutropenic patient with colon cancer. Fungal hyphae with surrounding inflammatory cells and mucosal necrosis were observed during the histological examination of a biopsy sample obtained at endoscopy. This case indicates that isolated invasive Aspergillus colitis may develop in a variable context of immunosuppression.
참고문헌 (10)
- Walsh TJ, "Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America", Clin Infect Dis, 46, pp.327~360 (2008)
- Hori A, "Clinical significance of extra-pulmonary involvement of invasive aspergillosis: a retrospective autopsy-based study of 107 patients", J Hosp Infect, 50, pp.175~182 (2002)
- Eggimann P, "Primary invasive aspergillosis of the digestive tract: report of two cases and review of the literature", Infection, 34, pp.333~338 (2006)
- Myoken Y, "Invasive Aspergillus stomatitis in patients with acute leukemia: report of 12 cases", Clin Infect Dis, 33, pp.1975~1980 (2001)
- Mohite U, "Invasive aspergillosis localised to the colon presenting as toxic megacolon", Eur J Haematol, 78, pp.270~273 (2007)
- Prescott RJ, "Fungal infections of the small and large intestine", J Clin Pathol, 45, pp.806~811 (1992)
- Tresallet C, "Small-bowel infarction from disseminated aspergillosis", Dis Colon Rectum, 47, pp.1515~1518 (2004)
- Enjoji M, "Localized small-bowel infarction caused by Aspergillus during chemotherapy for acute myeloid leukemia: report of a case", Surg Today, 38, pp.449~452 (2008)
- Shah SS, "Disseminated aspergillosis inciting intestinal ischaemia and obstruction", Br J Radiol, 74, pp.1145~1147 (2001)
- Chaudhary A, "Invasive aspergillosis causing small bowel infarction in a patient of carcinoma breast undergoing chemotherapy", J Carcinog, 5, pp.18~ (2006)
