Phlegmonous gastritis in an uncommon bacterial infection of the gastric wall, predominantly affects immunocompromised patients, with high mortality rates despite appropriate treatment. Various risk factors compromising gastric mucosal integrity have been described. Symptoms are typically nonspecific and may manifest as acute abdomen, therefore, imaging studies gain special value. Proper treatment requires appropriate antibiotic therapy and surgical intervention may be considered in some cases. Available literature on patients with oncohematological diseases or undergoing chemotherapy who develop phlegmonous gastritis, is limited. We present the case of a female patient with relapsed acute lymphoblastic leukemia who developed phlegmonous gastritis during the neutropenic period following chemotherapy.
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Eur J Case Rep Intern Med
March 2025
Serviço de Medicina Intensiva, Unidade Local de Saúde Santa Maria, Lisboa, Portugal.
Unlabelled: Phlegmonous gastritis is a rare condition, characterised by an infectious process in the gastric wall. There is an association with haemolytic infection in approximately 70% of cases, less frequently with other infectious agents such as , and . Diagnosis is often delayed due to non-specific symptoms, such as abdominal pain, nausea, vomiting and fever.
View Article and Find Full Text PDFGastrointest Endosc
February 2025
Department of Gastroenterology, Affiliated Hospital of Shandong Second Medical University, Weifang, China. Electronic address:
Cureus
January 2025
Department of Cardiology, The Affiliated Hospital of Southwest Medical University, Luzhou, CHN.
Phlegmonous esophagogastritis is a rare and life-threatening condition characterized by purulent inflammation of the submucosal and muscularis layers of the esophagus and stomach. We report the case of a 59-year-old male with a history of hypertension and prior herbicide ingestion who presented with fever, sore throat, chest pain, and progressive abdominal pain. Initial misdiagnosis of pancreatitis delayed treatment.
View Article and Find Full Text PDFMedicina (B Aires)
February 2025
Unidad de Terapia Intensiva, Hospital Provincial del Centenario, Rosario, Santa Fe, Argentina.
Phlegmonous gastritis in an uncommon bacterial infection of the gastric wall, predominantly affects immunocompromised patients, with high mortality rates despite appropriate treatment. Various risk factors compromising gastric mucosal integrity have been described. Symptoms are typically nonspecific and may manifest as acute abdomen, therefore, imaging studies gain special value.
View Article and Find Full Text PDFIntern Med
January 2025
Division of Hematology, Department of Medicine, Keio University School of Medicine, Japan.
Phlegmonous gastritis (PG) is a rare, life-threatening bacterial infection characterized by thickening of the gastric wall. We report a case of PG in a 17-year-old male following allogeneic hematopoietic stem cell transplantation for severe aplastic anemia. Seven months after transplantation, the patient presented with severe abdominal pain, fever, and significant gastric wall thickening on CT.
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