Emphysematous Gastritis

Asharaf, A.; Desai, Parth; Sanati, Maryam

doi:10.7556/jaoa.2019.140

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“…Emphysematous gastritis is a rare, potentially lethal infection of the stomach wall caused by gas-forming organisms with mortality approaching up to 60% [1]. While no clear guidelines are available for management, conservative management is the mainstay of therapy, with early initiation of broad-spectrum antibiotics [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Candida-Induced Emphysematous Gastritis in a Multiple Myeloma Patient: Conservative Management With Favorable Outcome

Patel¹,

Buchanan²,

Chai³

2021

Cureus

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Emphysematous gastritis is a rare, and often fatal, infection with unclear recommendations on management. We report the first documented case of emphysematous gastritis caused by Candida species in a patient on chemotherapy for multiple myeloma. Our patient, who presented with gastrointestinal symptoms was found to have gas in the stomach wall, peri-gastric, and portal veins on CT scan. Nasogastric tube cultures grew Candida albicans and Candida glabrata and the patient was treated with antibiotics and antifungals. Prompt recognition and conservative management led to a favorable outcome.

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