Phlegmonous gastritis in a patient with rheumatoid arthritis

Abstract

Phlegmonous gastritis is an acute infection of the stomach wall by pyogenic bacteria. It represents an extremely rare disease with a fulminating course and a high mortality rate. A precise lifetime diagnosis is generally unsuccessful. The inflammation, most often caused by alpha-hemolytic streptococci, is most frequently expressed in patients who are more susceptible to infection. Among these are elderly patients, women, patients with chronic gastritis, chronic peptic ulcer, hepatic cirrhosis and decreased immune tolerance, T-cell leukemia, patients with a low socio-economic status and alcoholics. In our paper we are describing the case of a 66-year old female patient, who had received many years of treatment for rheumatoid arthritis. She died due to phlegmonous gastritis, which was only established post-mortem. The authors share the opinion that the occurrence of the phlegmonous form of gastritis was influenced significantly by the treatment with nonsteroidal antirheumatics and corticosteroids, which she had received for many years and also immediately prior to the complication.

Videoendoscopy and histopathology of the esophagogastric junction in patients with gastroesophageal reflux disease

“…Following inspection of the duodenum and stomach, including four antegrade biopsies from gastric antrum and corpus, respectively, the esophagogastric junction was examined using retroflexed and antegrade vision [3,21,28]. None of the patients showed endoscopic evidence of duodenal, gastric or esophageal ulcer or tumor [29][30][31][32][33]. Presence or absence of inflammation within squamous mucosa-lined esophagus was assessed according to the Los Angeles classification, as previously described [34].…”

Phlegmonous Gastritis in a 32-Week Pregnant Woman Managed by Conservative Surgical Treatment and Antibiotics

“…This clinical entity was first illustrated by Verandeaens in 1617 and then described in 1862 by Cruveilhier [3]. It is an extremely rare disease, with no more than 500 cases described in medical literature [1][2][3]12]. In the present report, our patient was diagnosed with phlegmonous gastritis during her pregnancy.…”

“…Phlegmonous gastritis is an acute infection of the stomach wall by pyogenic bacteria [1][2][3]. This clinical entity was first illustrated by Verandeaens in 1617 and then described in 1862 by Cruveilhier [3].…”

“…The usual fulminating course of the dis-S. Hommel · G. Savoye ( ) · C. Lorenceau-Savale · E. Lerebours Département d'hépatogastroenterologie et nutrition, Hôpital C Nicolle, 1 Rue de Germont, 76031 Rouen Cedex, France e-mail: g savoye@hotmail.com or guillaume.savoye@chu-rouen.fr B. Costaglioli Service de chirurgie digestive, Hôpital C Nicolle, Rouen, France F. Baron Département d'obstétrique, Hôpital C Nicolle, Rouen, France F. Le Pessot · F. Lemoine Laboratoire d'anatomopathologie, Hôpital C Nicolle, Rouen, France ease makes it difficult to establish a lifetime diagnosis and phlegmonous gastritis is often recognize post mortem [1,7]. Reports of this entity in contemporary medical literature are few; it is thought to be associated with both favorable local conditions (e.g., chronic ulcer, gastritis, ulcer, gastric cancer [1,2,8]) or immunocompromised states [1,2,9].…”

“…Phlegmonous gastritis is an acute and unusual infection of the stomach wall by pyogenic bacteria [1][2][3]. This pathologic condition is extremely rare and associated with a poor prognosis [1][2][3][4][5][6][7].…”