The Resolution of <i>Helicobacter suis-</i>associated Gastric Lesions after Eradication Therapy
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- Nakagawa Satoru
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Shimoyama Tadashi
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Nakamura Masahiko
- Division of Pathophysiology, Research and Education Center for Clinical Pharmacy, School of Pharmaceutical Sciences, Kitasato University, Japan
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- Chiba Daisuke
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Kikuchi Hidezumi
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Sawaya Manabu
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Chinda Daisuke
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Mikami Tatsuya
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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- Fukuda Shinsaku
- Department of Gastroenterology, Hirosaki University Graduate School of Medicine, Japan
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抄録
<p>A reddish depressed lesion was found in the corpus of the stomach of a 56-year-old man. Gastric biopsy showed no findings of mucosa-associated lymphoid tissue lymphoma, including lympho-epithelial lesions. A urea breath test, stool antigen test and serum IgG antibody to Helicobacter pylori test were negative. Magnifying endoscopy using narrow-band-imaging showed no malignant structures. Gastric biopsy specimens were subjected to immunohistochemistry and a polymerase chain reaction, which identified Helicobacter suis infection. Triple therapy with esomeprazole, metronidazole, and amoxicillin was administered for 10 days. Three months later, endoscopy showed the significant improvement of the lesion. H. suis infection should be considered in chronic gastritis patients without H. pylori infection. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 57 (2), 203-207, 2018
一般社団法人 日本内科学会