Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Phlegmonous Gastritis Associated with Group A Streptococcal Toxic Shock Syndrome
Masaya MorimotoShinobu TamuraTakahiro HayakawaHirofumi YamanishiChiaki NakamotoHiromichi NakamotoTadayoshi IkebeYoshio NakanoTokuzo Fujimoto
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JOURNALS OPEN ACCESS

2014 Volume 53 Issue 22 Pages 2639-2642

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Abstract

Phlegmonous gastritis (PG) is a rare, acute, severe infectious disease of the gastric wall that is often fatal due to Streptococcus spp. A 77-year-old man with diabetes and a gastric ulcer was urgently admitted due to prolonged nausea and vomiting. Computed tomography revealed widespread diffuse thickening of the gastric wall, and PG was suspected. The patient expired less than 9 hours after admission despite intensive treatments. Later, an analysis of the blood and gastric juice revealed group A streptococcus (GAS) and virulence factors associated with toxic shock syndrome (TSS). We herein diagnosed a patient with an extremely aggressive course of PG caused by GAS TSS.

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© 2014 by The Japanese Society of Internal Medicine
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