Masarweh Omar M, Shah Raj, Al-Moussally Feras, Huang Andy, Atiquzzaman Basher
Department of Internal Medicine, University of Central Florida, Hospital Corporation of America (HCA) Healthcare, Orlando, USA.
Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2023 Feb 15;15(2):e35013. doi: 10.7759/cureus.35013. eCollection 2023 Feb.
Though rare, phlegmonous gastritis (PG) is a serious and life-threatening infection of the gastric submucosa and mucosa. Many factors have been associated with PG, including malignancy, chronic alcohol use, and immunocompromised states. Clinical presentation of PG is often non-specific, and diagnosis is often delayed. Early recognition and starting antibiotics significantly reduce overall mortality. We describe a case of a previously healthy male who presented with moderate abdominal pain and was found to have PG that was treated with an extensive course of antibiotics and total parental nutrition. Contrary to previously described cases in the literature, our patient had no predisposing factors, highlighting the importance of suspecting PG even in the absence of such factors and demonstrating the effectiveness of antibiotics in this disease.
尽管罕见，但蜂窝织炎性胃炎（PG）是一种严重的、危及生命的胃黏膜下层和黏膜感染。许多因素与PG相关，包括恶性肿瘤、长期酗酒和免疫功能低下状态。PG的临床表现通常不具有特异性，诊断往往会延迟。早期识别并开始使用抗生素可显著降低总体死亡率。我们描述了一例既往健康的男性病例，该患者出现中度腹痛，被诊断为PG，接受了长时间的抗生素治疗和全胃肠外营养。与文献中先前描述的病例不同，我们的患者没有诱发因素，这凸显了即使在没有此类因素的情况下怀疑PG的重要性，并证明了抗生素在这种疾病中的有效性。
