Phlegmonous gastritis in a patient with chemotherapy-induced neutropenia
Journal: Advances in Medicine and Engineering Interdisciplinary Research DOI: 10.32629/ameir.v3i3.4070
Abstract
Phlegmonous gastritis is a rare bacterial infection of the gastric wall that affects immunocompromised patients and has a high mortality rate despite adequate treatment. Various risk factors that compromise the integrity of the gastric mucosa have been described. Symptoms are generally nonspecific and may present as an acute abdomen, making imaging studies especially important. Treatment requires appropriate antibiotic therapy and, occasionally, surgery. The available literature on patients with oncohematological diseases or undergoing chemotherapy who develop phlegmonous gastritis is limited. We present the case of a patient with relapsed acute lymphoblastic leukemia who developed phlegmonous gastritis during the period of neutropenia following chemotherapy.
Keywords
phlegmonous gastritis; neutropenia; chemotherapy; acute leukemia
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[8] Kakimoto S, Harada Y, Shimizu T. Phlegmonous gastritis. CMAJ 2023; 195: e1181.
[9] Min SY, Kim YH, Park WS. Acute phlegmonous gastritis complicated by delayed perforation. World J Gastroenterol 2014; 20: 3383-7.
[10] Park CW, Kim A, Cha SW, et al. A case of phleg monous gastritis associated with marked gastric distension. Gut Liver 2010; 4: 415-8.
[11] King AJ, Eyre T, Rangarajan D, et al. Acute isolated trans mural neutropenic gastritis. J Clin Oncol 2012; 30: e1-2.
[12] Sood BP, Kalra N, Suri S. CT features of acute phleg monous gastritis. Clin Imaging 2000; 24: 287-8.
[2] Ishioka M, Watanabe N, Sawaguchi M, et al. Phleg monous gastritis: a report of three cases with clinical and imaging features. Intern Med 2018; 57: 2185-8.
[3] Muzio J, Rodríguez Bossio E, Manzano N, et al. Gas tritis flemonosa en un paciente con neutropenia. Rev Arg Med 2021; 9: 43-6.
[4] Saito M, Morioka M, Izumiyama K, et al. Phlegmon ous gastritis developed during chemotherapy for acute lymphocytic leukemia: a case report. World J Clin Cases 2021; 9: 6493-500.
[5] Yakami Y, Yagyu T, Bando T. Phlegmonous gastritis: a case series. J Med Case Rep 2021; 15: 445.
[6] Rada-Palomino A, Muñoz-Duyos A, Pérez-Romero N, et al. Gastritis flemonosa: una entidad poco fre cuente como diagnóstico diferencial del abdomen agudo. Descripción de un caso y revisión bibliográ fica. Rev Esp Enferm Dig 2014; 106: 418-24.
[7] Yang H, Yan Z, Chen J, et al. Diagnosis and treatment of acute phlegmonous gastritis: a case report. Medicine (Baltimore) 2018; 97: e0629.
[8] Kakimoto S, Harada Y, Shimizu T. Phlegmonous gastritis. CMAJ 2023; 195: e1181.
[9] Min SY, Kim YH, Park WS. Acute phlegmonous gastritis complicated by delayed perforation. World J Gastroenterol 2014; 20: 3383-7.
[10] Park CW, Kim A, Cha SW, et al. A case of phleg monous gastritis associated with marked gastric distension. Gut Liver 2010; 4: 415-8.
[11] King AJ, Eyre T, Rangarajan D, et al. Acute isolated trans mural neutropenic gastritis. J Clin Oncol 2012; 30: e1-2.
[12] Sood BP, Kalra N, Suri S. CT features of acute phleg monous gastritis. Clin Imaging 2000; 24: 287-8.
Copyright © 2025 Eugenio Cautures, Octavio E. Chiocca, María Antonela Orellano, Juan Ignacio Ibarzabal, Juan Carlos Pendino, Lisandro R. Bettini
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