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HEMATEMESIS AND MELENA IN BABY WITH HELICOBACTER PYLORI INFECTION
Author(s) -
Purnomo Budi,
Soeleman Eva J.,
Digdowirogo Hadjat S.,
Soehardjo Hartati N.
Publication year - 2000
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1046/j.1440-1746.2000.00a33.x
Subject(s) - melena , medicine , omeprazole , gastroenterology , gastritis , duodenitis , helicobacter pylori , surgery
H. pylori infection in a baby is very rare. Most Clinicians recommended treating this infection in such cases. Time of H. pylori begin to colonize human gastroduodenal is not known. We report a case: an 8‐month old baby girl who suffered from hematemesis and melena since 4‐month old. Case report: RK, an 8‐month baby girl was brought to children and maternity Hospital due to recurrent hematemesis and melena since 4 months ago. On physical examination, she looked pale without icterus or dyspnoe. Body weight was 6100 g. Vital signs were normal. Heart lungs, abdomen and extremities were within normal limit. Laboratory findings: hemoglobin 9.5 g/dl, hematrocrite 39%, leukocyte 13300 /ul, platelets 369000/ul, Prothrombin and thrombin time were normal. Radiology of the stomach with barium revealed third grade of gastroesophageal reflux. On gastroscopy, we found erosive gastritis and many nodules in duodenic bulb. Histopathological examination showed duodenitis grade I, H.pylori positive and chronic gastritis. We gave amoxycilin, omeprazole and metronidazole for a week and sucralfate, omeprazole for 2 months. After treatment, no symptoms was found. The baby have weight gain to normal percentile. Conclusion The management of H.pylori infection in our case was late. We already found iron deficient anaemia due to hematemesis and melena, and malnutrition. After H. pylori eradication, all symptoms resolved.