Czapka Michael T, Schrantz Stephen J
University of Chicago Medical Center, Section of Infectious Disease, 5841 S Maryland Avenue, MC, 5065 Chicago, IL, USA.
IDCases. 2023 Apr 26;32:e01777. doi: 10.1016/j.idcr.2023.e01777. eCollection 2023.
We present a case of phlegmonous gastritis, which is a rare, life-threatening infection involving transmural inflammation of the stomach of multiple possible etiologies. Historically this disease has required surgical management, including gastrectomy, which is quite morbid. Evolving literature suggests that antimicrobial therapy alone may be adequate treatment for this infection. The diagnosis of phlegmonous gastritis was suggested by radiology but confirmed by endoscopic pathology. This particular case is unique given the patient's age, lack of co-morbidities and being the first description of with phlegmonous gastritis. We report on a specific successful antimicrobial regimen and duration of therapy, which has not been well documented elsewhere in the literature, which may be helpful to clinicians.
我们报告一例蜂窝织炎性胃炎病例，这是一种罕见的、危及生命的感染，涉及胃壁全层炎症，病因可能多种多样。历史上，这种疾病需要手术治疗，包括胃切除术，这是一种创伤性较大的手术。不断发展的文献表明，单独使用抗菌治疗可能足以治愈这种感染。蜂窝织炎性胃炎的诊断通过放射学检查提示，但通过内镜病理检查得以确诊。鉴于患者的年龄、无合并症以及这是对蜂窝织炎性胃炎的首次描述，该病例具有独特性。我们报告了一种特定的成功抗菌治疗方案及治疗疗程，这在其他文献中尚未得到充分记载，可能对临床医生有所帮助。
