[Infectious Gastric Diseases Other than Helicobacter].

Hyemin Jo, Cheol Min Shin
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Abstract

In addition to Helicobacter pylori, the acute bacterial causes of infectious gastritis, include phlegmonous gastritis, gastric tuberculosis, and gastric syphilis. Bacterial gastritis often improves with appropriate broad-spectrum antibiotics, emphasizing the need for prompt diagnosis and treatment based on the clinical and endoscopic findings. Among viral gastritis, cytomegalovirus gastritis, primarily occurring in immunocompromised patients, necessitates antiviral intervention, while immunocompetent individuals typically achieve amelioration by administering proton pump inhibitors. In contrast, most gastric infections caused by the Epstein-Barr virus (EBV) are asymptomatic, but an EBV infection is a cause of stomach cancer. EBV-associated gastric cancer exhibits distinct clinical, pathological, genetic, and post-genetic mutation features, making it clinically significant. The colonization of Candida albicans in the stomach is uncommon, and typical antifungal treatment is unnecessary. Candida infections in gastric ulcers can be treated with anti-ulcer treatment alone. Lastly, anisakidosis in the stomach, which occurs when consuming raw seafood, can manifest in various clinical presentations and is typically treated through endoscopic removal of the nematode. This article aims to contribute to the rapid diagnosis and treatment of rare stomach infections beyond Helicobacter pylori in real clinical situations.

[螺旋杆菌以外的传染性胃病]。
除幽门螺杆菌外,感染性胃炎的急性细菌病因还包括痰胃炎、胃结核和胃梅毒。细菌性胃炎在使用适当的广谱抗生素后通常会好转,这就强调了根据临床和内镜检查结果及时诊断和治疗的必要性。在病毒性胃炎中,巨细胞病毒性胃炎主要发生在免疫力低下的患者中,必须进行抗病毒干预,而免疫力正常的患者通常通过服用质子泵抑制剂来改善病情。相比之下,大多数由爱泼斯坦-巴尔病毒(EBV)引起的胃部感染都没有症状,但 EBV 感染却是胃癌的诱因之一。与 EBV 相关的胃癌在临床、病理、遗传和基因突变后都表现出明显的特征,因此具有重要的临床意义。白色念珠菌在胃中的定植并不常见,因此无需进行典型的抗真菌治疗。胃溃疡中的念珠菌感染只需进行抗溃疡治疗即可。最后,在食用生海鲜时发生的胃内肛门线虫病可有多种临床表现,通常通过内窥镜切除线虫来治疗。本文旨在为在实际临床中快速诊断和治疗幽门螺杆菌以外的罕见胃部感染做出贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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