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VOLUME 25 , ISSUE 10 ( October, 2021 ) > List of Articles

CASE REPORT

Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination

Elisabeth Paramythiotou, Mitrakou Cornelia, Savva Athinna, Antoniadou Anastasia, Armaganidis Apostolos, Dimopoulos George

Keywords : Multiorgan failure, Phlegmonous gastritis, Septic shock, Streptococcus group A

Citation Information : Paramythiotou E, Cornelia M, Athinna S, Anastasia A, Apostolos A, George D. Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination. Indian J Crit Care Med 2021; 25 (10):1195-1198.

DOI: 10.5005/jp-journals-10071-23997

License: CC BY-NC 4.0

Published Online: 30-09-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We report a case of phlegmonous gastritis in a 70-year-old woman without any predisposing factors, presenting with high fever, epigastric pain, and vomiting complicated by septic shock and multiorgan failure. The ultrasound and the computed tomography scan showed thickening of the stomach wall. Streptococcus pyogenes was isolated in the blood, thereby establishing the diagnosis of streptococcal toxic shock syndrome. An exploratory laparotomy excluded the need for a gastrectomy, and the patient was successfully treated with antibiotics. A short review of phlegmonous gastritis caused by S. pyogenes during the last 12 years is also presented.


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