2023 Volume 65 Issue 7 Pages 1218-1224
A 61-year-old man was regularly followed up as an outpatient after receiving treatment for alcoholic cirrhosis and esophageal varices. The patientʼs gastric mucosa was injured by the scope during follow-up EGD; however, the bleeding resolved spontaneously. On day 9 after the EGD, the patient experienced epigastralgia and developed a fever. CT performed the following day revealed diffuse thickening of the gastric wall, which was attributed to phlegmonous gastritis. The patient was administered ampicillin sodium/sulbactam sodium. Blood culture of a biopsy specimen obtained during EGD on day 5 of hospitalization revealed alpha-hemolytic streptococci, which were also detected in the culture of the blood sample drawn on admission. Post-EGD phlegmonous gastritis is rare; however, immunocompromised patients with comorbidities such as diabetes, liver cirrhosis, and cancer are predisposed to this condition.
