DeCino Andrea, Gonzalez Martinez Jose Lisandro, Wright Randy
Department of Internal Medicine, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Department of Gastroenterology, University of Texas Health Science Center at San Antonio, San Antonio, USA.
Cureus. 2021 Feb 15;13(2):e13359. doi: 10.7759/cureus.13359.
Phlegmonous gastritis (PG) is a rare and serious bacterial infection of the gastric submucosa. Diagnosis is often delayed due to nonspecific symptoms, but if recognized early, PG may be treated successfully with medical therapy alone. We describe a case of a 47-year-old patient admitted with gastrointestinal symptoms and sepsis. He was found to have beta-hemolytic streptococcus bacteremia with a purulent gastric ulcer on endoscopic evaluation, consistent with the diagnosis of PG. Though surgical evaluation is often required in cases of PG, our patient quickly improved with parenteral antibiotic therapy. This case highlights an uncommon source of sepsis and demonstrates the success of antibiotic monotherapy with early recognition.
蜂窝织炎性胃炎（PG）是一种罕见且严重的胃黏膜下层细菌感染。由于症状不具特异性，诊断往往会延迟，但如果能早期识别，PG仅通过药物治疗可能就能成功治愈。我们描述了一例47岁因胃肠道症状和脓毒症入院的患者。内镜检查发现他有β溶血性链球菌菌血症以及化脓性胃溃疡，符合PG的诊断。虽然PG病例通常需要进行手术评估，但我们的患者通过肠外抗生素治疗迅速好转。该病例突出了脓毒症一种不常见的病因，并证明了早期识别后抗生素单一疗法的成功。
