Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Aug 4;2018(8):rjy188.
doi: 10.1093/jscr/rjy188. eCollection 2018 Aug.

Sepsis caused by acute phlegmonous gastritis based on a group A Streptococcus

Winesh Ramphal  1 , Marnix Mus  1 , Hans K S Nuytinck  1 , Marianne J van Heerde  2 , Cees M Verduin  3 , Paul D Gobardhan  1
Affiliations
Case Reports

Sepsis caused by acute phlegmonous gastritis based on a group A Streptococcus

Winesh Ramphal et al. J Surg Case Rep. .

Abstract

We present a case of 45-year-old male with acute phlegmonous gastritis (APG) based on a hemolytic group A Streptococcus. APG is a rare and often a potentially fatal disease, which is characterized by a severe bacterial infection of the gastric wall. Because APG is a rapidly progressive disease, it comes with high mortality rates. Patients with an early diagnosis may undergo successful treatment and have a survival benefit. As soon as the diagnosis of APG is suspected, aggressive and adequate antibiotic treatment in combination with surgical intervention should be considered.

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
CT-scan of our patient at admission with widespread thickening of the gastric wall, without signs of perforation in a transversal (A) and coronal (B) coupe.
Figure 2:
Figure 2:
Image of the gastric mucosa during the esophageal-gastro-duodenoscopy with diffuse erythema and edema of the gastric wall.
Figure 3:
Figure 3:
Peroperative image during laparotomy with dark red and diffuse gastric wall thickening. Some parts of the gastric wall are ischemic and have intact bullae on them.
See this image and copyright information in PMC

References

    1. Kim GY, Ward J, Henessey B, Peji J, Godell C, Desta H, et al. . Phlegmonous gastritis: case report and review. Gastrointest Endosc 2005;61:168–74. - PubMed
    1. Park CW, Kim A, Cha SW, Jung SH, Yang HW, Lee YJ, et al. . A case of phlegmonous gastritis associated with marked gastric distension. Gut and liver 2010;4:415–8. - PMC - PubMed
    1. Paik DC, Larson JD, Johnson SA, Sahm K, Shweiki E, Fulda GJ. Phlegmonous gastritis and group A streptococcal toxic shock syndrome in a patient following functional endoscopic sinus surgery. Surg Infect (Larchmt) 2010;11:545–9. - PubMed
    1. Rada-Palomino A, Muñoz-Duyos A, Pérez-Romero N, Vargas-Pierola H, Puértolas-Rico N, Ruiz-Campos L, et al. . Phlegmonous gastritis: a rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review. Rev Esp Enferm Dig 2014;106:418–24. - PubMed
    1. Hagiwara N, Matsutani T, Umezawa H, Nakamizo M, Yokoshima K, Shinozuka E, et al. . Phlegmonous gastritis associated with advanced esophageal cancer. Clin J Gastroenterol 2018. 10.1007/s12328-018-0867-z. - DOI - PubMed

Publication types