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[Phlegmonous colitis].

E Reyes Gutiérrez1, A Gamboa Domínguez, M L Díaz Betancourt

  • 1Departamento de Patología, Instituto Nacional de la Nutrición Salvador Zubirán, México DF.

Revista De Gastroenterologia De Mexico
|October 1, 1992
PubMed
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Phlegmonous colitis, a rare digestive tract inflammation, often links to systemic infections and liver disease. This case highlights Streptococcus pneumoniae septicemia in a patient with cirrhosis, leading to phlegmonous colitis.

Area of Science:

  • Gastroenterology
  • Pathology
  • Infectious Diseases

Background:

  • Phlegmonous inflammation of the digestive tract is a rare condition, frequently associated with systemic infections and chronic hepatic diseases.
  • These conditions can compromise mucosal defense mechanisms, increasing susceptibility to bacterial invasion.
  • Phlegmonous enterocolitis or gastritis involves acute inflammation damaging the submucosal layer of the stomach, small intestine, or large intestine.

Observation:

  • The study presents postmortem findings and clinical course of a rare case of phlegmonous colitis.
  • The patient was a 53-year-old woman.
  • She had a history of cirrhosis and presented with Streptococcus pneumoniae septicemia.

Findings:

  • Phlegmonous inflammation selectively targets the submucosal layer of the gastrointestinal tract.

Related Experiment Videos

  • Intestinal lesions are more common in the small intestine, but colonic involvement also occurs.
  • This case demonstrates phlegmonous colitis in the context of cirrhosis and pneumococcal septicemia.
  • Implications:

    • This case underscores the association between compromised liver function, systemic infection, and the development of phlegmonous colitis.
    • Understanding these associations is crucial for diagnosing and managing rare gastrointestinal inflammatory conditions.
    • Further research may elucidate the specific mechanisms linking cirrhosis, septicemia, and phlegmonous inflammation in the digestive tract.