Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination

We report a case of phlegmonous gastritis in a 70-year-old woman without any predisposing factors, presenting with high fever, epigastric pain, and vomiting complicated by septic shock and multi-organ failure. The ultrasound and the computed tomography scan showed thickening of the stomach wall. Str...

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Autores principales: Elisabeth, Paramythiotou, Cornelia, Mitrakou, Athinna, Savva, Anastasia, Antoniadou, Apostolos, Armaganidis, George, Dimopoulos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645801/
https://www.ncbi.nlm.nih.gov/pubmed/34916756
http://dx.doi.org/10.5005/jp-journals-10071-23997
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author Elisabeth, Paramythiotou
Cornelia, Mitrakou
Athinna, Savva
Anastasia, Antoniadou
Apostolos, Armaganidis
George, Dimopoulos
author_facet Elisabeth, Paramythiotou
Cornelia, Mitrakou
Athinna, Savva
Anastasia, Antoniadou
Apostolos, Armaganidis
George, Dimopoulos
author_sort Elisabeth, Paramythiotou
collection PubMed
description We report a case of phlegmonous gastritis in a 70-year-old woman without any predisposing factors, presenting with high fever, epigastric pain, and vomiting complicated by septic shock and multi-organ failure. The ultrasound and the computed tomography scan showed thickening of the stomach wall. Streptococcus pyogenes was isolated in the blood, thereby establishing the diagnosis of streptococcal toxic shock syndrome. An exploratory laparotomy excluded the need for a gastrectomy, and the patient was successfully treated with antibiotics. A short review of phlegmonous gastritis caused by S. pyogenes during the last 12 years is also presented. How to cite this article: Elisabeth P, Cornelia M, Athinna S, Anastasia A, Apostolos A, George D. Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination. Indian J Crit Care Med 2021;25(10):1197–1200.
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spelling pubmed-86458012021-12-15 Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination Elisabeth, Paramythiotou Cornelia, Mitrakou Athinna, Savva Anastasia, Antoniadou Apostolos, Armaganidis George, Dimopoulos Indian J Crit Care Med Case Report We report a case of phlegmonous gastritis in a 70-year-old woman without any predisposing factors, presenting with high fever, epigastric pain, and vomiting complicated by septic shock and multi-organ failure. The ultrasound and the computed tomography scan showed thickening of the stomach wall. Streptococcus pyogenes was isolated in the blood, thereby establishing the diagnosis of streptococcal toxic shock syndrome. An exploratory laparotomy excluded the need for a gastrectomy, and the patient was successfully treated with antibiotics. A short review of phlegmonous gastritis caused by S. pyogenes during the last 12 years is also presented. How to cite this article: Elisabeth P, Cornelia M, Athinna S, Anastasia A, Apostolos A, George D. Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination. Indian J Crit Care Med 2021;25(10):1197–1200. Jaypee Brothers Medical Publishers 2021-10 /pmc/articles/PMC8645801/ /pubmed/34916756 http://dx.doi.org/10.5005/jp-journals-10071-23997 Text en Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd. https://creativecommons.org/licenses/by-nc/4.0/© The Author(s). 2021 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Elisabeth, Paramythiotou
Cornelia, Mitrakou
Athinna, Savva
Anastasia, Antoniadou
Apostolos, Armaganidis
George, Dimopoulos
Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
title Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
title_full Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
title_fullStr Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
title_full_unstemmed Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
title_short Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
title_sort phlegmonous gastritis and streptoccocal toxic shock syndrome: an almost lethal combination
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645801/
https://www.ncbi.nlm.nih.gov/pubmed/34916756
http://dx.doi.org/10.5005/jp-journals-10071-23997
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