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너구리 담낭 섭취 후 Helicobacter heilmannii-like Organism으로 유발된 위궤양
서우종 ( Seo Woo Jong ),박찬수 ( Park Chan Su ),조영재 ( Cho Young Jae ),차경우 ( Cha Kyoung Woo ),이상우 ( Lee Sang Woo ),임성택 ( Lim Seung Taek ),성영호 ( Sung Young Ho ),백애란 ( Baek Ae Ran ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.1
Recently, there was growing interest in a gastric spiral-shaped bacterium morphologically deviating from Helicobacter pylori (H. pylori), which was classified as Helicobacter heilmannii (H. heilmannii). It rarely inhabits human species whereas the observation of structurally comparable bacteria in other mammals, including cats and dogs, is a commonplace. Therefore, it is now generally recognized that H. heilmannii is an animal Helicobacter, which is occasionally transmitted to man. H. heilmannii is usually associated with chronic gastritis. Here, we described a case of gastric ulcer caused by spiral bacteria morphologically identical to H. heilmannii. The patient complained of epigastric pain over a two day period. He took the gallbldder of a wild raccoon dog 7 days before. Upper gastrointesinal endoscopy revealed multiple geographic gastric ulcers in the distal body and antrum. After eradication of another Helicobacter spp, H. heilmannii, the symptom resolved completely in 4 days. Eight weeks later, a follow-up endoscopy showed complete healing of the ulcer. (Korean J Gastroenterol 2003;42:63-66)