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Gut. 2007 August; 56(8): 1123.
PMCID: PMC1955486

A rare infection of the gastric mucosa

Clinical presentation

A 63‐year‐old woman was referred for an open access gastroscopy with a three decade history of gastro‐oesophageal reflux‐like symptoms. She had a history of “Q fever” 5 years previously following her holiday in Gran Canary islands in Spain. She was on long term treatment with a proton pump inhibitor for her reflux symptoms. She had also used antacids for many decades on a symptomatic basis.

Her gastroscopy showed antral gastritis and hiatus hernia with grade B oesophagitis. Figure 11 shows the histological assessment of the gastric mucosa.

figure gt104513.f1
Figure 1 Histological assessment of the gastric mucosa (haematoxylin–eosin ×200).

Question

What is the infection evident on histology? What is the possible underlying predisposing factor to this infection?

See page 1163 for answer

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