An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation of 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...

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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
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Online Access:https://www.actamedindones.org/index.php/ijim/article/view/264
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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.
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institution Kabale University
issn 0125-9326
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language English
publishDate 2017-02-01
publisher Interna Publishing
record_format Article
series Acta Medica Indonesiana
spelling doaj-art-41988a2eb9e9447cbb1c3f2d0ce21e152025-08-20T03:51:35ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322017-02-01484178An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation of 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.https://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 of 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 of Gastric Ulcer
title_full An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation of Gastric Ulcer
title_fullStr An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation of Gastric Ulcer
title_full_unstemmed An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation of Gastric Ulcer
title_short An East-Asian-type cagA Helicobacter pylori Infected Patient with Clinical Manifestation of Gastric Ulcer
title_sort east asian type caga helicobacter pylori infected patient with clinical manifestation of gastric ulcer
topic Helicobacter pylori
Gastric ulcer
East-Asian-type cagA
vacA
url https://www.actamedindones.org/index.php/ijim/article/view/264
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