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Phlegmonous gastritis: a case series.
Yoshikazu Yakami1, Toshihiko Yagyu2, Tomoki Bando2
1Department of Internal Medicine, Higashi-Osaka Hospital, 7-22, Chuo 1 chome, Joto-ku, Osaka, 536-0005, Japan. afify902@oct.zaq.ne.jp.
Journal of Medical Case Reports
|September 6, 2021
Summary
Phlegmonous gastritis is a rare but serious stomach infection. Early diagnosis and antibiotic treatment are crucial for recovery, even with varied endoscopic appearances.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Medical Diagnostics
Background:
- Phlegmonous gastritis is a rare, potentially fatal infectious stomach disease.
- Endoscopic findings are often nonspecific, complicating diagnosis.
- Differential diagnosis includes scirrhous gastric cancer, gastric syphilis, and acute gastric mucosal lesions.
Observation:
- Three cases of phlegmonous gastritis are presented with unique endoscopic findings.
- Initial diagnoses included scirrhous gastric cancer, gastric syphilis, and acute gastric mucosal lesion.
- Histopathology and cultures confirmed phlegmonous gastritis in all cases.
Findings:
- Antibiotic therapy was effective in all three cases.
- Case 1: diagnosed after suspected scirrhous gastric cancer.
- Case 2: diagnosed after suspected gastric syphilis, with Streptococcus viridans identified.
- Case 3: diagnosed after suspected acute gastric mucosal lesion, with Pseudomonas aeruginosa and Streptococcus viridans identified.
Implications:
- Accurate early diagnosis of phlegmonous gastritis is essential.
- Clinicians should consider phlegmonous gastritis in differential diagnoses despite varied endoscopic views.
- Prompt antibiotic treatment can lead to significant improvement or resolution of gastric lesions.
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