Korean J Hematol 2006; 41(2):
Published online June 30, 2006
https://doi.org/10.5045/kjh.2006.41.2.115
© The Korean Society of Hematology
문지윤, 최영진, 신호진, 정주섭, 송무곤, 한동철, 박지영, 김경엽, 김활웅, 조군제
부산대학교 의과대학, 내과학교실 혈액종양내과, 병리학교실
Invasive aspergillosis needs to be paid extra attention to these day since chemotherapy and stem cell transplantation bring about immune suppression. The lung is the main portal of entry and once involved, invasive aspergillosis may be delivered by hematogenous spread into the central nervous system, liver, spleen, gut and adrenal gland. However infections through the gastrointestinal track are not common. In these cases, abdominal pain and diarrhea can be the major symptoms and amphotericin B is the treatment of choice. We report here on a patient with untreated acute myeloid leukemia who suffered from bloody diarrhea without any lung lesion; this patient had ulcer close to cecum on colonoscopy, and then he was diagnosed as suffering with aspergillosis with H&E staining and PAS staining on the biopsy specimen.
Keywords Aspergillosis, Leukemia, Gastrointestinal tract
Korean J Hematol 2006; 41(2): 115-118
Published online June 30, 2006 https://doi.org/10.5045/kjh.2006.41.2.115
Copyright © The Korean Society of Hematology.
문지윤, 최영진, 신호진, 정주섭, 송무곤, 한동철, 박지영, 김경엽, 김활웅, 조군제
부산대학교 의과대학, 내과학교실 혈액종양내과, 병리학교실
Ji Yoon Moon, Young Jin Choi, Ho Jin Shin, Joo Seop Chung, Moo Kon Song, Dong Cheul Han, Ji Young Park, Kyung Yup Kim, Hwal Woong Kim, Goon Jae Cho
Departments of, Internal Medicine and, Pathology, Pusan National University College of Medicine, Busan, Korea
Invasive aspergillosis needs to be paid extra attention to these day since chemotherapy and stem cell transplantation bring about immune suppression. The lung is the main portal of entry and once involved, invasive aspergillosis may be delivered by hematogenous spread into the central nervous system, liver, spleen, gut and adrenal gland. However infections through the gastrointestinal track are not common. In these cases, abdominal pain and diarrhea can be the major symptoms and amphotericin B is the treatment of choice. We report here on a patient with untreated acute myeloid leukemia who suffered from bloody diarrhea without any lung lesion; this patient had ulcer close to cecum on colonoscopy, and then he was diagnosed as suffering with aspergillosis with H&E staining and PAS staining on the biopsy specimen.
Keywords: Aspergillosis, Leukemia, Gastrointestinal tract
Young‑Uk Cho
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