芽生菌病是由皮炎芽生菌引起的慢性感染。主要受损的是肺、皮肤,骨和生殖道,胃肠道受影响者较少。作者报告1例以上消化道出血为表现的食管芽生菌病。患者60岁,食后不适1年,近几周来有呕血及黑粪,体重减轻。否认有吸烟饮酒史。入院检查病人极 Blastomycosis is a chronic infection caused by blast dermatitis. The main damage is lung, skin, bone and genital tract, less affected by the gastrointestinal tract. The authors report more than one case of gastrointestinal blast disease with gastrointestinal bleeding as a manifestation. The patient is 60 years old and has 1 year of discomfort after eating. In recent weeks, hematemesis and black manure have lost weight. Denied smoking history. Admission examination of patients extremely