title: Fatal duodenocaval fistula caused by peptic ulcer.
abstract: Gastrointestinal bleeding caused by a duodenocaval fistula is rare, diagnostically challenging, and associated with a high mortality rate. We describe the case of a patient with polymicrobial fungemia and fatal gastrointestinal bleeding related to a duodenocaval fistula caused by peptic ulcer. Polymicrobial fungemia, which has not previously been associated with this condition, raises the possibility of candidal endocarditis.
authors.affiliation: Department of Medicine, Madigan Army Medical Center, Tacoma, Wash, USA.
authors.forename: E P
authors.initials: EP
authors.lastname: Lesho
authors.forename: C
authors.initials: C
authors.lastname: LeBrun
authors.forename: F J
authors.initials: FJ
authors.lastname: Landry
authors.forename: A
authors.initials: A
authors.lastname: Tsuchida
authors.forename: R H
authors.initials: RH
authors.lastname: Cooper
mesh_terms: D002177:Candidiasis; D004378:Duodenal Diseases / Q000209:etiology*; D004381:Duodenal Ulcer / Q000150:complications*; D017809:Fatal Outcome; D005402:Fistula / Q000209:etiology*; D016469:Fungemia / Q000382:microbiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000150:complications; D014652:Vascular Diseases / Q000209:etiology; D014682:Vena Cava, Inferior / Q000473:pathology*