Journal of Postgraduate Medicine Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India ISSN: 0022-3859 EISSN: 0972-2823 Vol. 55, Num. 1, 2009, pp. 74-74

Journal of Postgraduate Medicine, Vol. 55, No. 1, January-March, 2009, pp. 74

Letter

Authors' Reply

Shiva Prasad BN, Shenoy A, Nataraj KS

Department of Medicine, KMC, Manipal
Correspondence Address:Department of Medicine, KMC, Manipal, drshivaravi@yahoo.co.in

Code Number: jp09023

Sir,

We thank the author ^[1] for the interest given for our article. ^[2]

Patient did not have history of smoking, alcoholism and peptic ulcer. Most of the literature with gastric mucormycosis have single large ulcer. Single large ulcer is mentioned rather than multiple small ulcers in literature mentioning steroid intake has the predisposing factor. In most of the references they have mentioned, upper gastrointestital endoscopy has revealed single ulcer. Even in the largest series of upper gastrointestinal mucormycosis stating peptic ulcer as the predisposing factor does not clearly distinguish between a primary ulcerating fungal infection and a super infection of pre-existing peptic ulcer. ^[3]

References

1.	Benjamin SPE. Primary gastric mucormycosis: Role of preexisting ulcerative and erosive lesions. J Postgrad Med 2009;55:73-4.  Back to cited text no. 1  [PUBMED]
2.	Shiva Prasad BN, Shenoy A, Nataraj KS. Primary gastric mucormycosis: Role of preexisting ulcerative and erosive lesions. J Postgrad Med 2008;54:211-3.  Back to cited text no. 2
3.	Thomson SR, Bade PG, Taams M, Chrystal V. Gastrointestinal mucormycosis. Br J Surg 1991;78:952-4.   Back to cited text no. 3  [PUBMED]

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