An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer

We reported a male, 72 yo, Chinese ethnic with chief complaint black mushy defecation. Physical examination revealed pale on conjunctival palpebra which confirmed as anemia on complete blood count. Gastroduodenoscopy revealed a 3 mm ulcer at the antrum (Forrest stage III). H. pylori infection was po...

Full description

Bibliographic Details
Main Authors: Yudith Annisa Ayu Rezkitha, Muhammad Miftahussurur, Iswan A Nusi, Ummi Maimunah, Pangestu Adi, Yoshio Yamaoka
Format: Article
Language:English
Published: Interna Publishing 2017-02-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:http://www.actamedindones.org/index.php/ijim/article/view/264
_version_ 1818179006383521792
author Yudith Annisa Ayu Rezkitha
Muhammad Miftahussurur
Iswan A Nusi
Ummi Maimunah
Pangestu Adi
Yoshio Yamaoka
author_facet Yudith Annisa Ayu Rezkitha
Muhammad Miftahussurur
Iswan A Nusi
Ummi Maimunah
Pangestu Adi
Yoshio Yamaoka
author_sort Yudith Annisa Ayu Rezkitha
collection DOAJ
description We reported a male, 72 yo, Chinese ethnic with chief complaint black mushy defecation. Physical examination revealed pale on conjunctival palpebra which confirmed as anemia on complete blood count. Gastroduodenoscopy revealed a 3 mm ulcer at the antrum (Forrest stage III). H. pylori infection was positive based on five different test methods (urinary antibody tests, rapid urease test, culture, histology ad immunohistochemistry). Used polymerase chain reaction-based sequencing, we found the patient infected by CagA producing, East-Asian-type cagA and vacA s1m1-strain. Further analysis using 7 housekeeping genes confirmed that the strain categorized in to hspEAsia group. The patient was given continuous intravenous infusions of proton pump inhibitor and standard triple therapy regimens eradication of H. pylori.
first_indexed 2024-12-11T20:57:00Z
format Article
id doaj.art-41988a2eb9e9447cbb1c3f2d0ce21e15
institution Directory Open Access Journal
issn 0125-9326
2338-2732
language English
last_indexed 2024-12-11T20:57:00Z
publishDate 2017-02-01
publisher Interna Publishing
record_format Article
series Acta Medica Indonesiana
spelling doaj.art-41988a2eb9e9447cbb1c3f2d0ce21e152022-12-22T00:51:04ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322017-02-01484307313178An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric UlcerYudith Annisa Ayu Rezkitha0Muhammad Miftahussurur1Iswan A Nusi2Ummi Maimunah3Pangestu Adi4Yoshio Yamaoka5Institute of Tropical Disease, Universitas Airlangga, Surabaya, IndonesiaDepartment of Environmental and Preventive Medicine, Oita University Faculty of Medicine, Yufu, JapanDepartment of Internal Medicine, Faculty of Medicine Universitas Airlangga - dr. Soetomo Teaching Hospital, Surabaya, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Airlangga - dr. Soetomo Teaching Hospital, Surabaya, IndonesiaInstitute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia.Department of Environmental and Preventive Medicine, Oita University Faculty of Medicine, Yufu, JapanWe reported a male, 72 yo, Chinese ethnic with chief complaint black mushy defecation. Physical examination revealed pale on conjunctival palpebra which confirmed as anemia on complete blood count. Gastroduodenoscopy revealed a 3 mm ulcer at the antrum (Forrest stage III). H. pylori infection was positive based on five different test methods (urinary antibody tests, rapid urease test, culture, histology ad immunohistochemistry). Used polymerase chain reaction-based sequencing, we found the patient infected by CagA producing, East-Asian-type cagA and vacA s1m1-strain. Further analysis using 7 housekeeping genes confirmed that the strain categorized in to hspEAsia group. The patient was given continuous intravenous infusions of proton pump inhibitor and standard triple therapy regimens eradication of H. pylori.http://www.actamedindones.org/index.php/ijim/article/view/264Helicobacter pyloriGastric ulcerEast-Asian-type cagAvacA
spellingShingle Yudith Annisa Ayu Rezkitha
Muhammad Miftahussurur
Iswan A Nusi
Ummi Maimunah
Pangestu Adi
Yoshio Yamaoka
An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer
Acta Medica Indonesiana
Helicobacter pylori
Gastric ulcer
East-Asian-type cagA
vacA
title An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer
title_full An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer
title_fullStr An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer
title_full_unstemmed An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer
title_short An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation Gastric Ulcer
title_sort east asian type caga helicobacter pylori infected patient with clinical manifestation gastric ulcer
topic Helicobacter pylori
Gastric ulcer
East-Asian-type cagA
vacA
url http://www.actamedindones.org/index.php/ijim/article/view/264
work_keys_str_mv AT yudithannisaayurezkitha aneastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT muhammadmiftahussurur aneastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT iswananusi aneastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT ummimaimunah aneastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT pangestuadi aneastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT yoshioyamaoka aneastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT yudithannisaayurezkitha eastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT muhammadmiftahussurur eastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT iswananusi eastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT ummimaimunah eastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT pangestuadi eastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer
AT yoshioyamaoka eastasiantypecagahelicobacterpyloriinfectedpatientwithclinicalmanifestationgastriculcer