Gastric wall perforation secondary to presumed aspergillosis in a pediatric patient with aplastic anemia: A case report

  • Jesus Reyna-Figueroa Central South Hospital from Petroleos Mexicanos, Mexico
  • Francisco Javier Luna-Aguilar Central South Hospital from Petroleos Mexicanos, Mexico
  • Gabriela Cardoso-Yah Central South Hospital from Petroleos Mexicanos, Mexico
  • Maria Irene Rivera-Salgado Central South Hospital from Petroleos Mexicanos, Mexico
  • Ana Elena Limon-Rojas Central South Hospital from Petroleos Mexicanos, Mexico
  • Patricia Galindo-Delgado Central South Hospital from Petroleos Mexicanos, Mexico
Keywords: aspergillosis, gastric perforation, leukemia, aplastic anemia

Abstract

Aspergillosis is an opportunistic fungal infection that may develop in immunocompromised patients with conditions such as leukemia or aplastic anemia. A rare case of stomach perforation following acute fungal gastritis in a 13-year-old female patient with aplastic anemia is reported herein. The patient had developed aplastic anemia without bone marrow fibrosis secondary to acute lymphoblastic leukemia and chemotherapy. The pathological examination revealed a large ischemic transmural perforation (9.5 × 9 cm) associated with fungal septic emboli. Fungal hyphae characteristics were compatible with those of Aspergillus spp. There are few reports identifying fungi as agents associated with gastric perforation. There is a need for early identification of the infectious agent.

Author Biography

Jesus Reyna-Figueroa, Central South Hospital from Petroleos Mexicanos, Mexico
Pediatric Infectious diseases, Department of pediatrics.
Published
2015-04-15
How to Cite
1.
Reyna-Figueroa J, Luna-Aguilar FJ, Cardoso-Yah G, Rivera-Salgado MI, Limon-Rojas AE, Galindo-Delgado P (2015) Gastric wall perforation secondary to presumed aspergillosis in a pediatric patient with aplastic anemia: A case report. J Infect Dev Ctries 9:431-434. doi: 10.3855/jidc.5714
Section
Case Reports