PMC6441519_01
Endoscopic imaging showing severe esophagitis.
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An esophagogastroduodenoscopy (EGD) was performed revealing Los Angeles Grade D esophagitis, 20 cm in length (Figure 1), along with a large semicircumferential gastric ulcer with heaped up margins covered by greenish exudate (Figure 2).
Endoscopic imaging of gastric lesion before the initiation of treatment.
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An esophagogastroduodenoscopy (EGD) was performed revealing Los Angeles Grade D esophagitis, 20 cm in length (Figure 1), along with a large semicircumferential gastric ulcer with heaped up margins covered by greenish exudate (Figure 2).
Fungal elements in a background of necrotic and acute inflammatory exudate and unremarkable gastric foveolar epithelia. No evidence of malignancy (x2000).
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Histologic examination of the biopsy specimen revealed fungal elements in the background of necrotic and acute inflammatory exudate with unremarkable gastric foveolar epithelium (Figures 3 and 4).
Fungal hyphae highlighted by Grocott-Gomori's Methenamine Silver (GMS) stain in a background of necrotic and acute inflammatory exudate and unremarkable gastric foveolar epithelia. No evidence of malignancy (x1000).
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Histologic examination of the biopsy specimen revealed fungal elements in the background of necrotic and acute inflammatory exudate with unremarkable gastric foveolar epithelium (Figures 3 and 4).
Endoscopic images of the gastric lesion after treatment with Isavuconazole.
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A repeat EGD on postoperative day 20 showed partial resolution of the mass (Figure 5).