Korean J Gastrointest Endosc > Volume 43(1); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 25-29.
Helicobacter heilmannii-like Organism으로 유발된 저등급 위 MALT 림프종 1예
인제대학교 의과대학 일산백병원 내과학교실, *병리학교실
A Case of Gastric Low-grade MALT Lymphoma Induced by a Helicobacter heilmannii-like Organism
Dong-Hoon Oh, M.D., Nam-Hoon Kim, M.D., Yu-Jung Cho, M.D., Tae Jun Song, M.D., Won Ki Bae, M.D., Kyung-Ah Kim, M.D., June Sung Lee, M.D. and Mee Joo, M.D.*
Departments of Internal Medicine, *Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
Helicobacter heilmannii is a Gram negative, long spiral-shaped organism associated with zoonotic infections acquired from primates including cats and dogs. Infection with H. heilmannii leads to gastritis, peptic ulcer disease, gastric adenocarcinoma, and gastric mucosa-associated lymphoid tissue (MALT) lymphoma. We experienced a 54-year-old man with dyspepsia who was diagnosed with primary gastric MALT lymphoma (stage IE1) associated with a H. heilmannii-like organism. Upper gastrointestinal endoscopy revealed only microvascular dilatation and mucosal granularity without elevated or ulcerative lesions at the stomach angle. He was probably infected by a pet dog. The man was treated with eradication therapy for 2 weeks including lansoprazole, amoxicillin, and clarithromycin. Four weeks after eradication of the H. heilmannii-like organism, follow-up endoscopy and pathological biopsy findings showed complete remission of the gastric MALT lymphoma. (Korean J Gastrointest Endosc 2011;43:25-29)
Key Words: Helicobacter heilmannii, Helicobacter pylori, Gastric MALT lymphoma
주요어: 헬리코박터 헤일마니, 헬리코박터 파일로리, 위 말트림프종
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