Document Detail


Gastric lymphoma presenting as phlegmonous gastritis.
MedLine Citation:
PMID:  19065719     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Phlegmonous gastritis is an uncommon local or diffuse bacterial infection of the stomach wall. It is an extremely rare disease with a fulminating course and a high mortality rate. A majority of cases are diagnosed only postmortem, and early diagnosis is crucial for survival. This used to be common in the preantibiotic era; a resurgence of cases has occurred of late due to the spread of acquired immunodeficiency syndrome. There are varying local and systemic associations like gastric ulcer, gastric carcinoma, post-therapeutic endoscopy, postsurgery, human immunodeficiency virus infection, malnutrition, Kaposi's sarcoma, myeloma, leukemia, Sjogren's syndrome, and glucocorticoid use. We report a case of phlegmonous gastritis in a 70-year-old lady associated with gastric lymphoma. She succumbed to death on the fifth day of hospitalization despite broad-spectrum antibiotic therapy. She could not be operated upon due to the onset of multiorgan dysfunction syndrome and multiple comorbidities. To our knowledge, gastric lymphoma presenting as phlegmonous gastritis has not been reported in published English literature.
Authors:
R Harikumar; K Pramod; M Pushpa; K Simi; G Arun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of gastrointestinal cancer     Volume:  38     ISSN:  1941-6628     ISO Abbreviation:  J Gastrointest Cancer     Publication Date:  2007  
Date Detail:
Created Date:  2008-12-09     Completed Date:  2009-02-03     Revised Date:  2012-09-07    
Medline Journal Info:
Nlm Unique ID:  101479627     Medline TA:  J Gastrointest Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  24-7     Citation Subset:  IM    
Affiliation:
Gastroenterology, Century Hospital, Mulakuzha, Chengannur, Kerala 689505, India. harikumnair@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Bacterial Agents / therapeutic use
Cellulitis / complications,  pathology
Diabetes Complications
Female
Gastritis / complications*,  drug therapy,  pathology*
Humans
Hypertension / complications
Lymphoma, Large B-Cell, Diffuse / complications*,  pathology*
Pulmonary Disease, Chronic Obstructive / complications
Stomach Neoplasms / complications*,  pathology*
Streptococcus pyogenes
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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