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Enterococcus gastritis.

Hala M T El-Zimaity1, Jacqueline Ramchatesingh, Jill E Clarridge

  • 1Department of Medicine, Veterans Affairs Medical Center, Houston, TX 77030, USA.

Human Pathology
|October 17, 2003
PubMed
Summary
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A rare case of Enterococcus-associated gastritis was observed in a diabetic patient after H. pylori treatment. This finding highlights a previously undescribed bacterial cause of gastritis, potentially linked to NSAID injury and diabetes.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Infectious Diseases

Background:

  • Helicobacter pylori is the primary cause of gastritis.
  • Gastritis due to other bacterial species is uncommon.
  • This case explores a rare instance of Enterococcus-associated gastritis.

Observation:

  • A 59-year-old diabetic male presented with gastritis.
  • Endoscopy revealed severe active gastritis adjacent to gram-positive coccobacilli, with no H. pylori.
  • Culture identified an Enterococcus species, distinct from H. pylori.

Findings:

  • The patient experienced transient Enterococcus gastritis.
  • Gastritis resolved spontaneously within two months without specific treatment.
  • No H. pylori or enterococci were detected on follow-up endoscopy.

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Implications:

  • This case describes a novel manifestation of Enterococcus infection in the stomach.
  • Diabetes and NSAID-induced gastric injury may predispose individuals to Enterococcus gastritis.
  • Further research is needed to understand the pathogenesis and clinical significance of Enterococcus gastritis.