Phlegmonous gastritis developed during chemotherapy for acute lymphocytic leukemia : A case report

Saito, Makoto; Morioka, Masanobu; Izumiyama, Koh et al.

World Journal of Clinical Cases, 2021, 9(22), 6493-6500

Permalink : https://hdl.handle.net/2115/83042

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論文情報

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アクセス権
open access
URI
https://hdl.handle.net/2115/83042
タイトル
Phlegmonous gastritis developed during chemotherapy for acute lymphocytic leukemia : A case report
著者
Saito, Makoto ; Morioka, Masanobu ; Izumiyama, Koh ; Mori, Akio ; Ogasawara, Reiki ; Kondo, Takeshi ; Miyajima, Toru ; Yokoyama, Emi ; Tanikawa, Satoshi
著者名
Saito, Makoto
著者名
Morioka, Masanobu
著者名
Izumiyama, Koh
著者名
Mori, Akio
著者名
Ogasawara, Reiki
著者名
Kondo, Takeshi
著者名
Miyajima, Toru
著者名
Yokoyama, Emi
e-Rad_Researcher
00823353
著者名
Tanikawa, Satoshi
言語
英語
キーワード
Phlegmonous gastritis
Chemotherapy
neutropenia
Bacillus cereus
Histopathology
Case report
発行日
2021-08-06
出版者
Baishideng Publishing Group
収録物名
World Journal of Clinical Cases
巻(号)
9(22)
ページ
6493-6500
抄録
BACKGROUND Phlegmonous gastritis (PG) is a rare bacterial infectious disease characterized by neutrophil-based purulent inflammation of the gastric wall. The most representative causative bacterium is Streptococcus pyogenes, followed by Staphylococcus, Pneumococcus and Enterococcus. Hepatic portal venous gas (HPVG) is considered a potentially fatal condition and is rarely associated with PG. CASE SUMMARY The white blood cell count of a 70-year-old woman with acute lymphocytic leukemia in complete remission dropped to 100/mu L after consolidation chemotherapy. Her vital signs were consistent with septic shock. Venous blood culture revealed the presence of Bacillus cereus. Abdominal computed tomography (CT) and esophagogastroduodenoscopy (EGD) showed marked thickening of the gastric wall. As with the other findings, CT was suggestive of HPVG, and EGD showed pseudomembrane-like tissue covering the superficial mucosa. Histopathological examination of gastric biopsy specimens showed mostly necrotic tissue with lymphocytes rather than neutrophils. Culture of gastric specimens revealed the presence of Bacillus cereus. We finally diagnosed this case as PG with Bacillus cereus-induced sepsis and HPVG. This patient recovered successfully with conservative treatment, chiefly by using carbapenem antibiotics. CONCLUSION The histopathological finding of this gastric biopsy specimen should be called "neutropenic necrotizing gastritis".
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
PISSN
2307-8960
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.12998/wjcc.v9.i22.6493