Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination
Elisabeth Paramythiotou, Cornelia Mitrakou, Athinna Savva, Anastasia Antoniadou, Apostolos Armaganidis, George Dimopoulos
Citation Information :
Paramythiotou E, Mitrakou C, Savva A, Antoniadou A, Armaganidis A, Dimopoulos G. Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination. Indian J Crit Care Med 2021; 25 (10):1197-1200.
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 multi-organ 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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