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Case Reports
. 2025;85(1):234-238.

[Phlegmonous gastritis in a patient with chemotherapy induced neutropenia]

[Article in Spanish]
Eugenio Cautures  1 , Octavio E Chiocca  2 , María Antonela Orellano  2 , Juan Ignacio Ibarzabal  2 , Juan Carlos Pendino  2 , Lisandro R Bettini  2
Affiliations
  • PMID: 39900070
Free article
Case Reports

[Phlegmonous gastritis in a patient with chemotherapy induced neutropenia]

[Article in Spanish]
Eugenio Cautures et al. Medicina (B Aires). 2025.
Free article

Abstract
in English, Spanish

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.

La gastritis flemonosa es una infección bacteriana de la pared gástrica poco frecuente, que afecta a pacientes inmunocomprometidos con una alta mortalidad a pesar del tratamiento adecuado. Se han descrito diferentes factores de riesgo que comprometen la integridad de la mucosa gástrica. Los síntomas son generalmente inespecíficos, y puede presentarse como un abdomen agudo, por lo que los estudios por imágenes cobran especial importancia. El tratamiento requiere de una terapia antibiótica adecuada y, en ocasiones, de intervención quirúrgica. La bibliografía disponible sobre pacientes con enfermedades oncohematológicas o bajo tratamiento quimioterápico que desarrollan gastritis flemonosa, es limitada. Presentamos el caso de una paciente con leucemia linfoblástica aguda con recaída que desarrollóuna gastritis flemonosa durante el período de neutropenia posterior a la quimioterapia.

Keywords: acute leukemia; chemotherapy; neutropenia; phlegmonous gastritis.

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