Acute gastric necrosis caused by a<b>β</b>-hemolytic streptococcus infection: a case report and review of the literature

Kobus, Carolien; Broek, J.J. van den; Richir, Milan C.

doi:10.1080/00015458.2018.1500799

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…A recent culture-based study of gastric mucosal tissue showed that Streptococcus as well as Neisseria were markedly higher in the gastritis group than normal controls [20]. Streptococcal infection was also implicated in the pathogenesis of the rare but fatal phlegmonous gastritis [21]. Furthermore, several studies highlighted that the Streptococcal infection was significantly associated with gastric cancer [3].…”

Section: Discussionmentioning

confidence: 99%

Gastric Microbiota in Helicobacter pylori-Negative and -Positive Gastritis Among High Incidence of Gastric Cancer Area

Gantuya

El–Serag

Matsumoto

et al. 2019

Cancers

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Helicobacter pylori (H. pylori) related chronic gastritis is a well-known major etiological factor for gastric cancer development. However, H. pylori-negative gastritis (HpN) is not well described. We aimed to examine gastric mucosal microbiota in HpN compared to H. pylori-positive gastritis (HpP) and H. pylori-negative non-gastritis group (control). Here, we studied 11 subjects with HpN, 40 with HpP and 24 controls. We performed endoscopy with six gastric biopsies. Comparison groups were defined based on strict histological criteria for the disease and H. pylori diagnosis. We used 16S rRNA gene amplicon sequencing to profile the gastric microbiota according to comparison groups. These results demonstrate that the HpP group had significantly lower bacterial richness by the operational taxonomic unit (OTU) counts, and Shannon and Simpson indices as compared to HpN or controls. The linear discriminant analysis effect size analysis showed the enrichment of Firmicutes, Fusobacteria, Bacteroidetes and Actinobacteria at phylum level in the HpN group. In the age-adjusted multivariate analysis, Streptococcus sp. and Haemophilus parainfluenzae were at a significantly increased risk for HpN (odds ratio 18.9 and 12.3, respectively) based on abundance. Treponema sp. was uniquely found in HpN based on occurrence. In this paper, we conclude that Streptococcus sp., Haemophilus parainfluenzae and Treponema sp. are candidate pathogenic bacterial species for HpN. These results if confirmed may have important clinical implications.

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Section: Discussionmentioning

confidence: 99%

Gastric Microbiota in Helicobacter pylori-Negative and -Positive Gastritis Among High Incidence of Gastric Cancer Area

Gantuya

El–Serag

Matsumoto

et al. 2019

Cancers

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“…Although the etiology of the disease is unknown, possible mechanisms include hematogenous bacteria spread or direct invasion through a lesion in the stomach wall. 3 Several predisposing factors (either local or general) and underlying situations have been associated with the disease. Local factors include mucosal injury, achlorhydria, gastritis, alcohol use, gastrointestinal malignancies, invasive endoscopic procedures, and gastric lymphoma.…”

Section: Discussionmentioning

confidence: 99%

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

Paramythiotou¹,

Cornelia²,

Athinna³

et al. 2022

Indian Journal of Critical Care Medicine

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A bstract 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. How to cite this article: Elisabeth P, 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):1197–1200.

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“…Instead, we searched for reports of necrotizing gastritis in patients without autoimmune hepatitis (Table 1 )[ 17 - 26 ]. In most cases, treatment included total gastrectomy or the use of antibiotics[ 27 , 28 ]. In our case, initial treatment was also the use of intravenous antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Extremely rare case of necrotizing gastritis in a patient with autoimmune hepatitis: A case report

Moon

Yoo

Kim

et al. 2021

WJCC

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BACKGROUND Autoimmune hepatitis can cause liver fibrosis, liver cirrhosis, and hepatocellular carcinoma. Its treatment option include the use of steroids and/or immune-suppressive agents such as azathioprine. However, these drugs have some side effects. Thus, close follow-up is needed during treatment. Here, we present an extremely rare case of a patient with an autoimmune hepatitis who died from necrotizing gastritis during immunosuppressive treatment. CASE SUMMARY A 52-year-old female patient was diagnosed with autoimmune hepatitis. We treated this patient with immunosuppressive agents. High-dose steroid treatment was initially started. Then azathioprine treatment was added while steroid was tapering. Five weeks after the start of treatment, she visited the emergency room due to generalized abdominal pain and vomiting. After computed tomography scan, the patient was diagnosed with necrotizing gastritis and the patient progressed to septic shock. Treatment for sepsis was continued in the intensive care unit. However, the patient died at 6 h after admission to the emergency room. CONCLUSION In patients with autoimmune infections undergoing immunosuppressant therapy, rare complications such as necrotizing gastritis may occur, thus requiring clinical attention.

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Acute gastric necrosis caused by aβ-hemolytic streptococcus infection: a case report and review of the literature

Cited by 8 publications

References 12 publications

Gastric Microbiota in Helicobacter pylori-Negative and -Positive Gastritis Among High Incidence of Gastric Cancer Area

Gastric Microbiota in Helicobacter pylori-Negative and -Positive Gastritis Among High Incidence of Gastric Cancer Area

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

Extremely rare case of necrotizing gastritis in a patient with autoimmune hepatitis: A case report

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