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Hindi Case Report
Aspergillosis of Gastrointestinal Tract Mimicking Malignancy: A Case Report
Mishra P*, Gupta Divya, Mishra S and Srinivas V
Department of Pathology, Tata Memorial Centre, Parel, Mumbai, 400012, India
- *Corresponding Author:
- Mishra P
Department of Pathology
Tata Memorial Centre Parel
Mumbai, 400012, India
E-mail: psmofi2@gmail.com
Received date: May 27, 2017; Accepted date: June 20, 2017; Published date: June 26, 2017
Citation: Mishra P, Gupts G, Mishra S, Srinivas V (2017) Aspergillosis of Gastrointestinal Tract Mimicking Malignancy: A Case Report. J Clin Exp Pathol 7:311. doi:10.4172/2161-0681.1000311
Copyright: © 2017 Mishra P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A variety of infectious diseases can have clinical, radiological and histopathological findings that mimic various malignancies. We report a case of a 53 year old immunocompetent man admitted initially as a case of perforation peritonitis with strong clinical suspicion of a gastric malignancy. Histologically, the biopsy from the stomach perforation site showed necrotic gastric wall with scattered atypical cells in muscularis. Initially suspected to be neoplastic, these cells could not be characterized definitively by an immunohistochemistry panel. However, special stains for fungi done on account of necrosis, demonstrated presence of numerous fungal hyphae of Aspergillus in the gastric ulcer slough. Systemic antifungal treatment was instituted after which the patient showed significant clinical improvement and was discharged from the hospital following an uneventful recovery. To the best of the author’s knowledge, this is the first report of a case of Aspergillus infection mimicking gastric malignancy in a non-immunocompromised individual from India.
