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

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

doi:10.5005/jp-journals-10071-23997

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

Indian J Crit Care Med. 2021 Oct;25(10):1197-1200. doi: 10.5005/jp-journals-10071-23997.

Authors

Paramythiotou Elisabeth¹, Mitrakou Cornelia¹, Savva Athinna², Antoniadou Anastasia², Armaganidis Apostolos¹, Dimopoulos George¹

Affiliations

¹ Department of Critical Care, University Hospital ATTIKON, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
² Department of Internal Medicine, University Hospital ATTIKON, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

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 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.

Keywords: Multi-organ failure; Phlegmonous gastritis; Septic shock; Streptococcus group A.

Publication types

Case Reports