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Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report

The present case study reported on a 62-year-old male patient with gastric cancer-associated Aspergillus (A.) niger bloodstream infection. The patient presented with massive hemorrhage in the gastrointestinal tract 3 months after total gastrectomy for gastric cancer. Conservative treatment consistin...

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Autores principales: Lin, Li, Zhao, Chuan-Hua, Yin, Xiu-Yun, Chen, Yu-Ling, Zhai, Hong-Yan, Xu, Chun-Wei, Wang, Yan, Ge, Fei-Jiao, Xu, Jian-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526131/
https://www.ncbi.nlm.nih.gov/pubmed/28810606
http://dx.doi.org/10.3892/etm.2017.4693
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author Lin, Li
Zhao, Chuan-Hua
Yin, Xiu-Yun
Chen, Yu-Ling
Zhai, Hong-Yan
Xu, Chun-Wei
Wang, Yan
Ge, Fei-Jiao
Xu, Jian-Ming
author_facet Lin, Li
Zhao, Chuan-Hua
Yin, Xiu-Yun
Chen, Yu-Ling
Zhai, Hong-Yan
Xu, Chun-Wei
Wang, Yan
Ge, Fei-Jiao
Xu, Jian-Ming
author_sort Lin, Li
collection PubMed
description The present case study reported on a 62-year-old male patient with gastric cancer-associated Aspergillus (A.) niger bloodstream infection. The patient presented with massive hemorrhage in the gastrointestinal tract 3 months after total gastrectomy for gastric cancer. Conservative treatment consisting of blood transfusion to supplement blood volume loss was ineffective. Digital subtraction angiography indicated gastroduodenal artery bleeding. The first attempt of performing arterial embolization using gelatin sponges failed, while the second attempt of performing common hepatic artery embolization using gelatin sponges and micro-coil springs stopped the bleeding. Four weeks after angiography, the patient presented with the complication of A. niger bloodstream infection, which was cured using intravenous and oral voriconazole. Clinicians should be aware of the possibility of A. niger bloodstream infection after invasive operations in immunocompromised patients and apply timely antifungal treatment.
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spelling pubmed-55261312017-08-11 Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report Lin, Li Zhao, Chuan-Hua Yin, Xiu-Yun Chen, Yu-Ling Zhai, Hong-Yan Xu, Chun-Wei Wang, Yan Ge, Fei-Jiao Xu, Jian-Ming Exp Ther Med Articles The present case study reported on a 62-year-old male patient with gastric cancer-associated Aspergillus (A.) niger bloodstream infection. The patient presented with massive hemorrhage in the gastrointestinal tract 3 months after total gastrectomy for gastric cancer. Conservative treatment consisting of blood transfusion to supplement blood volume loss was ineffective. Digital subtraction angiography indicated gastroduodenal artery bleeding. The first attempt of performing arterial embolization using gelatin sponges failed, while the second attempt of performing common hepatic artery embolization using gelatin sponges and micro-coil springs stopped the bleeding. Four weeks after angiography, the patient presented with the complication of A. niger bloodstream infection, which was cured using intravenous and oral voriconazole. Clinicians should be aware of the possibility of A. niger bloodstream infection after invasive operations in immunocompromised patients and apply timely antifungal treatment. D.A. Spandidos 2017-08 2017-06-27 /pmc/articles/PMC5526131/ /pubmed/28810606 http://dx.doi.org/10.3892/etm.2017.4693 Text en Copyright: © Lin et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Lin, Li
Zhao, Chuan-Hua
Yin, Xiu-Yun
Chen, Yu-Ling
Zhai, Hong-Yan
Xu, Chun-Wei
Wang, Yan
Ge, Fei-Jiao
Xu, Jian-Ming
Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report
title Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report
title_full Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report
title_fullStr Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report
title_full_unstemmed Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report
title_short Aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: A case report
title_sort aspergillus niger bloodstream infection in gastric cancer after common hepatic artery embolization: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526131/
https://www.ncbi.nlm.nih.gov/pubmed/28810606
http://dx.doi.org/10.3892/etm.2017.4693
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