Stomach
Infections
Helicobacter heilmannii gastritis

Author: Elliot Weisenberg, M.D. (see Authors page)

Revised: 29 November 2016, last major update August 2012

Copyright: (c) 2003-2016, PathologyOutlines.com, Inc.

PubMed Search: helicobacter heilmannii gastritis
Cite this page: Helicobacter heilmannii gastritis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/stomachhh.html. Accessed December 7th, 2016.
Definition / General
  • Very rare compared to H. pylori (Arch Pathol Lab Med 1995;119:1149)
  • Patients usually symptomatic with dyspepsia, epigastric pain, acid reflux
  • Associated with lymphoid hyperplasia, lymphoma, gastric carcinoma, peptic ulcer disease
  • Less severe and fewer lymphoid aggregates than H. pylori gastritis (Mod Pathol 1999;12:534)
  • More common in children; due to contact with farm animals or household pets
  • Helical, 3.5 - 7.5 microns, 0.9 microns in diameter
  • Prefers gastric antrum
  • H. felis, H. fennelliae, H. cinaedi also associated with human disease
Treatment
  • Same as H. pylori
Micro Description
  • Long tight spirals; thicker and twice as long as H. pylori and usually visible with H&E stain
  • Changes similar to but less severe than H. pylori gastritis (lymphoid aggregates, scant neutrophils)
Micro Images

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Tightly coiled spiral organisms

Positive Stains
  • H. pylori (polyclonal antibody cross-reacts, but not monoclonal antibody), Warthin Starry, Steiner, Diff-Quik