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Successful Antibiotic Treatment of Phlegmonous Gastritis Following Allogeneic Hematopoietic Stem Cell Transplantation.
Intern 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.
View Article and Find Full Text PDFPhlegmonous Gastritis With Streptococcal Toxic Shock Syndrome: A Rare Complication After Endoscopy.
Cureus
November 2024
Department of Surgery, Bauchzentrum Rapperswil, Rapperswil, CHE.
Phlegmonous gastritis is a rare, suppurative bacterial infection of the gastric wall and one of the rarest complications after upper gastrointestinal endoscopy. The pathogenesis is not fully clear, but multiple risk factors have been described in literature as mucosal injury and achlorhydria. We report a case of a 76-year-old male with vomiting and epigastric pain, two days after an upper endoscopy, who presented in septic shock.
View Article and Find Full Text PDFRapid identification of primary atopic disorders (PAD) by a clinical landmark-guided, upfront use of genomic sequencing.
Allergol Select
October 2024
Center for Child and Adolescent Health, Helios Hospital Krefeld, Academic Hospital of RWTH Aachen, Krefeld.
Article Synopsis
- Primary atopic disorders (PAD) are rare genetic conditions caused by specific gene variants that affect skin and immune function, making diagnosis challenging among common allergic disease cases.
- Identifying PAD requires recognizing clinical red flags like family history and unusual infections, as conventional lab tests are inadequate for definitive diagnosis.
- Whole-genome sequencing (WGS) enhances diagnostic efficiency and accuracy, but requires careful interpretation and collaboration among specialists to effectively manage PAD cases.
Mediastinal abscess and bacteremia due to complicated by aorto-esophageal fistula leading to death with massive bleeding in a 70-year-old Japanese man with gastric cancer.
IDCases
September 2024
Department of General Internal Medicine, Kameda Medical Center, Kamogawa, Chiba, Japan.
Article Synopsis
- Elderly individuals with underlying conditions can develop bacteremia from cellulitis, leading to severe complications like mediastinal abscesses and aorto-esophageal fistulas.
- A case study presented involved a patient with gastric cancer who experienced recurrent bacteremia, which was suspected to contribute to a mediastinal abscess that was only confirmed post-mortem.
- The mediastinal abscess progressed into the esophagus and aorta, resulting in a life-threatening fistula and massive hemorrhage, ultimately causing the patient's death.
Cervical gastric decompression tube: safety and efficacy outcomes for inoperable malignant bowel obstruction.
Ann Palliat Med
September 2024
Department of Surgery, Houston Methodist Hospital, Houston, TX, USA.
Background: Inoperable malignant bowel obstruction, which results in chronic nausea, vomiting and abdominal pain, often requires nasogastric tube decompression. However, these tubes are often uncomfortable for patients and require hospitalization during the end-of-life care. Cervical esophago-gastric (CEG) decompression tubes are a potential palliative solution.
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