Phlegmonous Gastritis Associated with Group A Streptococcal Toxic Shock Syndrome

Masaya Morimoto; Shinobu Tamura; Takahiro Hayakawa; Hirofumi Yamanishi; Chiaki Nakamoto; Hiromichi Nakamoto; Tadayoshi Ikebe; Yoshio Nakano; Tokuzo Fujimoto

doi:10.2169/internalmedicine.53.2741

CASE REPORTS

Phlegmonous Gastritis Associated with Group A Streptococcal Toxic Shock Syndrome

Masaya Morimoto, Shinobu Tamura, Takahiro Hayakawa, Hirofumi Yamanishi, Chiaki Nakamoto, Hiromichi Nakamoto, Tadayoshi Ikebe, Yoshio Nakano, Tokuzo Fujimoto

著者情報

キーワード: phlegmonous gastritis, group A streptococcus, toxic shock syndrome, gastric juice culture

ジャーナルオープンアクセス

2014 年 53 巻 22 号 p. 2639-2642

DOI https://doi.org/10.2169/internalmedicine.53.2741

詳細

抄録

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.

責任著者(Corresponding author)

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