Korean J Gastrointest Endosc > Volume 38(4); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(4): 237-241.
호중구감소 환자에서 발생한 침습 칸디다 대장염 1예
이세형ㆍ공윤호ㆍ한군희ㆍ김영돈ㆍ정우진ㆍ엄대운*ㆍ김지훈ㆍ천갑진
울산대학교 의과대학 강릉아산병원 내과학교실, *진단병리학교실, 순천향대학교 의과대학 내과학교실
A Case of Invasive Candidal Colitis in a Neutropenic Patient
Se Hyung Lee, M.D., Yun Ho Kong, M.D., Koon Hee Han, M.D., Young Don Kim, M.D., Woo Jin Jeong, M.D., Dae Woon Eom, M.D.*, Ji Hoon Kim, M.D. and Gab Jin Cheon, M.D.
Departments of Internal Medicine and *Pathology, Ulsan University College of Medicine, Gangneung Asan Hospital, Gangneung, Department of Internal Medicine, Soonchunhyang University College of Medicine, Asan, Korea
Abstract
The candida species are considered as resident microflora in healthy persons. Yet in immunocompromised patients, candida can cause opportunistic invasive fungal infections. A 67-year-old woman presented to the hospital with abdominal pain and diarrhea. On admission, the laboratory studies revealed profound neutropenia, and the abdominal computed tomography showed thickened walls of the ascending colon and terminal ileum. The patient's fever and clinical symptoms continued for 5 days in spite of the empirical antibiotic therapy. We performed colonoscopy and obtained biopsy specimens at the ulcer lesions of the ascending colon and terminal ileum. The histology showed that candida hyphae had invaded to the lamina propria of the colonic mucosa. After antifungal treatment, her clinical symptoms subsided and the follow-up colonoscopic findings showed improvement. Therefore, we suggest that invasive candidal colitis should be considered in the differential diagnosis of neutropenic enterocolitis. (Korean J Gastrointest Endosc 2009;38:237-241)
Key Words: Candidal colitis, Neutropenia
주요어: 칸디다 대장염, 호중구감소
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
1,973
View
1
Download
Related articles
A Rare Case of Early Gastric Cancer Combined with Underlying Heterotopic Pancreas  2018 March;51(2)
A Case of Oral-contraceptive Related Ischemic Colitis in Young Woman  2011 December;44(2)
A Case of Biliary Cast Syndrome in a Non-liver Transplatation Patients  2011 May;42(5)
A Case of Inserting Two Self-expandable Metal Stents in Dual Malignant Colonic Obstructions  2011 March;42(3)
A Case of Duodenal Diverticulitis Mimicking Cholangitis  2010 September;41(3)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer