{"title":"痰性胃炎和链球菌中毒性休克综合征:几乎致命的组合。","authors":"Paramythiotou Elisabeth, Mitrakou Cornelia, Savva Athinna, Antoniadou Anastasia, Armaganidis Apostolos, Dimopoulos George","doi":"10.5005/jp-journals-10071-23997","DOIUrl":null,"url":null,"abstract":"<p><p>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. <i>Streptococcus pyogenes</i> 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 <i>S. pyogenes</i> during the last 12 years is also presented. <b>How to cite this article:</b> 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.</p>","PeriodicalId":520643,"journal":{"name":"Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine","volume":" ","pages":"1197-1200"},"PeriodicalIF":1.5000,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/72/ijccm-25-1197.PMC8645801.pdf","citationCount":"2","resultStr":"{\"title\":\"Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination.\",\"authors\":\"Paramythiotou Elisabeth, Mitrakou Cornelia, Savva Athinna, Antoniadou Anastasia, Armaganidis Apostolos, Dimopoulos George\",\"doi\":\"10.5005/jp-journals-10071-23997\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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. <i>Streptococcus pyogenes</i> 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 <i>S. pyogenes</i> during the last 12 years is also presented. <b>How to cite this article:</b> 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.</p>\",\"PeriodicalId\":520643,\"journal\":{\"name\":\"Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine\",\"volume\":\" \",\"pages\":\"1197-1200\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2021-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/72/ijccm-25-1197.PMC8645801.pdf\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5005/jp-journals-10071-23997\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10071-23997","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
摘要
我们报告一例痰性胃炎，70岁女性，无任何易感因素，表现为高热、胃脘痛、呕吐并脓毒性休克和多器官衰竭。超声和计算机断层扫描显示胃壁增厚。在血液中分离出化脓性链球菌，从而建立链球菌中毒性休克综合征的诊断。探索性剖腹手术排除了胃切除术的需要，患者成功地接受了抗生素治疗。本文也对近12年来化脓性葡萄球菌引起的痰性胃炎作一综述。Elisabeth P, Cornelia M, Athinna S, Anastasia A, Apostolos A, George D.痰性胃炎和链球菌中毒性休克综合征:几乎致命的组合。中华危重医学杂志;2011;25(10):1197- 11200。
Phlegmonous Gastritis and Streptoccocal Toxic Shock Syndrome: An Almost Lethal Combination.
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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