Asnaes S, Pedersen S N, Theilade P
Retspatologisk Institut, Københavns Universitet.
Ugeskr Laeger. 1993 Jun 7;155(23):1806-7.
A case of maternal death and still birth in the 35th week of pregnancy is described where the cause of death was the very rarely diagnosed phlegmonous gastritis. The phlegmonous gastritis is characterised by dangerous, fulminating pyogenic bacterial infection of the gastric wall with alpha-haemolytical streptococci. The entity seems to have been well-known earlier, but has only been reported sparsely in contemporary medical literature. It cannot be ruled out that the disease may have been misdiagnosed on several occasions in recent decades because of symptomatic treatment. In presenting the case, the authors seek to attract attention to this disease--that according to the contemporary medical literature seems mostly to be induced by modern treatment with antacids and after gastroscopy--because it can be effectively treated with modern antibiotics, possibly in combination with gastrectomy.
本文描述了一例妊娠35周时产妇死亡及死产的病例，死亡原因是极为罕见的蜂窝织炎性胃炎。蜂窝织炎性胃炎的特征是胃壁受到α溶血性链球菌引起的危险、暴发性化脓性细菌感染。这种病症似乎在早期就已为人所知，但在当代医学文献中仅有零星报道。由于对症治疗，近几十年来该病有可能多次被误诊。在介绍该病例时，作者旨在引起人们对这种疾病的关注——根据当代医学文献，这种疾病似乎大多由现代抗酸剂治疗及胃镜检查后诱发——因为它可用现代抗生素有效治疗，可能还需结合胃切除术。
