A case of phlegmonous gastritis with hepatic portal venous gas caused by Aeromonas hydrophila successfully treated with medication

Yasuda, Takeshi; Yagi, Nobuaki; Nakahata, Yuki; Kurobe, Takuya; Yasuda, Yuriko; Omatsu, Tatsushi; Obora, Akihiro; Kojima, Takao

doi:10.1007/s12328-019-01020-7

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…At present, gastrointestinal decompression and antibiotic treatment are routine conservative therapies. Previous studies have reported that certain cases of HPVG occur without necrosis and these cases can be treated successfully with medication, which is consistent with the conclusion of the present study ( 23 , 24 ). Moreover, emergency surgery should be performed immediately in the presence of an obvious peritonitis symptom, which may indicate the presence of a hemodynamic disorder of the intestinal tract, even if there are no signs of ischemia on the CT scan ( 25 ).…”

Section: Discussionsupporting

confidence: 93%

Clinical features and management of 20 patients with hepatic portal venous gas

et al. 2022

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The present study investigated the characteristics, diagnosis, treatment and prognosis of hepatic portal venous gas (HPVG) using the data of 20 patients from the Tongji University School of Medicine Affiliated with Yangpu Hospital (Shanghai, China). The aim of the present study was to optimize the management method and improve the prognosis of patients with HPVG. A total of 20 patients were selected using a CT scan to confirm HPVG. All patients were enrolled and identified via a search engine, which examined all CT radiology reports containing the words pneumatosis and/or portal venous gas/air. Data were collected and analyzed, including sex, age, laboratory evidence, etiologies at admission, therapeutic method and in-hospital mortality. The patients consisted of 14 women (mean age, 79.1 years) and six men (mean age, 67.8 years). The results demonstrated that HPVG indicated a higher inflammatory index. The etiologies of HPVG included abdominal infection, pulmonary infection and hemorrhage, whereas the comorbidities included hypertension, diabetes, coronary disease, cerebrovascular disease and renal insufficiency. The present study determined that intestinal obstruction, acute enteritis and pulmonary infection were the main causes of HPVG. Of the 20 patients enrolled in the present study, four patients received surgery and 16 patients received conservative treatment. The overall in-hospital mortality was 25%. The present study indicated that the causes of HPVG may be closely related to inflammation and blood vessel injury. It was also determined that hemodynamic disorders of the intestinal tract and the combination of different types of infection were important contributors towards patient mortality.

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Section: Discussionsupporting

confidence: 93%

Clinical features and management of 20 patients with hepatic portal venous gas

et al. 2022

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“…Phlegmonous gastritis is a rarely encountered infection involving all layers of the gastric body which is mostly found in older male patients with significant medical co-morbidities and immunocompromise [1] . Historically this disease was treated surgically with gastrectomy due to potential mortality benefit [2] , but more recent data suggest lone antibiosis for two weeks may be effective as well [3] , [4] , [5] , [6] . Symptoms typically include fevers, abdominal pain, nausea and emesis (sometimes containing blood or pus) [7] .…”

Section: Discussionmentioning

confidence: 99%

Phlegmonous gastritis: Evolving from surgical to medical disease

Czapka

Schrantz

2023

IDCases

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“…The reports described in this review are summarized in Table S1 [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], where the bacterial groups involved in the illnesses are reported in alphabetical order along where the type of ...…”

Section: Recent Cases Of Opportunistic Infections Transmitted By Food...mentioning

confidence: 99%

“…After treatment with levofloxacin, then switched to cefmetazole, the symptoms gradually improved. In this case, the predisposing factor for the A. hydrophila infection presentation was most probably the presence of an ulcer lesion in the stomach that favored the invasion of the gastric wall and phlegmon formation [ 5 ].…”

Section: Recent Cases Of Opportunistic Infections Transmitted By Food...mentioning

confidence: 99%

Recent Records on Bacterial Opportunistic Infections via the Dietary Route

Rossi,

Santonicola,

Amadoro

et al. 2023

Microorganisms

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This narrative review was aimed at identifying the opportunistic bacterial pathogens that can be transmitted by contaminated food and represent a current threat for patients particularly susceptible to infections because of underlying conditions or predisposing factors. The analysis was focused on recent case or outbreak reports and systematic reviews published in the years 2019 to 2023 and resulted in sorting 24 bacterial groups comprising the genera or species able to cause a variety of systemic or invasive infections if ingested with food or drinking water. These included both bacteria known to cause mild infections in immunocompetent persons and bacteria considered to be innocuous, which are used in food fermentation or as probiotics. No recent cases of infections transmitted through dietary routes were reported for the critical nosocomial pathogens widely found in food products, primarily Acinetobacter baumannii and Klebsiella pneumoniae. However, the very first sources of their introduction into the clinical environment still need to be established. In many instances, risky dietary habits, such as eating raw fish, seafood, raw meat, unpasteurized milk, and their derived products or the lack of control in fermentation processes, has led to the reported illnesses, pointing out the necessity to improve the hygiene of production and consumer awareness of the risks.

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A case of phlegmonous gastritis with hepatic portal venous gas caused by Aeromonas hydrophila successfully treated with medication

Cited by 9 publications

References 11 publications

Clinical features and management of 20 patients with hepatic portal venous gas

Clinical features and management of 20 patients with hepatic portal venous gas

Phlegmonous gastritis: Evolving from surgical to medical disease

Recent Records on Bacterial Opportunistic Infections via the Dietary Route

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