The spiral bacteria, Helicobacter heilmannii (H, heilmannii), distinct from
Helicobacter pylori (H, pylori), was found in the gastric mucosa of a 71-y
ear-old man without clinical symptoms. The endoscopic examination revealed
erosive gastritis. Rapid urease test from the antral specimen was positive,
but both culture and immunohistological staining for H,pylori were negativ
e. Touch smear cytology showed tightly spiral bacteria, which were consiste
nt with H. heilmannii. At the second endoscopy after medication regimen for
eradication of H, pylori, inflammation was decreased and the rapid urease
test was negative. The second cytology showed no evidence of H. heilmannii.
Anti-H,pylori therapy may be a useful medication for H, heilmannii.