Propst Robert, Denham Laura, Deisch Jeremy K, Kalra Tejinder, Zaheer Salman, Silva Kimberly, Magaki Shino
Department of Pathology, Loma Linda University Medical Center and School of Medicine, Loma Linda, CA, USA.
Department of Gastroenterology and Hepatology, Loma Linda University Medical Center and School of Medicine, Loma Linda, CA, USA.
Int J Surg Pathol. 2020 Apr;28(2):206-209. doi: 10.1177/1066896919873715. Epub 2019 Sep 8.
species are anaerobic gram-positive cocci rarely seen in the upper gastrointestinal tract and associated with delayed gastric emptying. We present 3 cases of infection with varying clinical presentations including the first reported case of in a patient with eosinophilic esophagitis. Although the pathogenesis of is unclear, awareness of the bacteria is important as they can usually only be detected on histopathologic examination of upper gastrointestinal biopsies. Treatment in symptomatic patients may prevent severe complications such as emphysematous gastritis and gastric perforation.
该菌种为厌氧革兰氏阳性球菌,在上消化道中罕见,与胃排空延迟有关。我们报告了3例感染病例,临床表现各异,包括首例在嗜酸性食管炎患者中发生的该菌种感染病例。尽管该菌种的发病机制尚不清楚,但了解这种细菌很重要,因为通常只能在上消化道活检的组织病理学检查中检测到它们。对有症状的患者进行治疗可预防严重并发症,如气肿性胃炎和胃穿孔。