Candida Associated Gastric Ulcers with Active Bleeding; A Case Report

Gastrointestinal tract candidiasis is a common infection seen in immunocompromised hosts but occurs most frequently in esophagus. Candidiasis of the stomach and the small intestine is unusual. Herein we describe a 60-year-old woman with a history of diabetes mellitus and hypertension who presented to our hospital with melena, hematemesis, and confusion. She had taken ibuprofen since 2 weeks before the admission. In endoscopic evaluation multiple black and necrotic gastric ulcers in incisura and antrum with active bleeding and one clean base ulcer in the bulb of duodenum was seen. Amphotericin B was started because of highly suspicion to candida or mucormycosis infection. She was discharged from the hospital with well condition. Results of pathological evaluation confirmed candida associated gastric ulcer.