Silent acute gastric dilatation due to salmonella infection in a diabetic elderly | Zendy

Kannayiram Alagiakrishnan | Zendy; Michael Frankel | Zendy

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Silent acute gastric dilatation due to salmonella infection in a diabetic elderly

Author(s) -

Kannayiram Alagiakrishnan,

Michael Frankel

Publication year - 2011

Publication title -

age and ageing

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.014

H-Index - 143

eISSN - 1468-2834

pISSN - 0002-0729

DOI - 10.1093/ageing/afr120

Subject(s) - medicine , vomiting , ileus , bacteremia , pneumonia , nausea , stomach , surgery , salmonella , abdominal pain , gastric outlet obstruction , esophageal dilatation , gastroparesis , diabetes mellitus , gastroenterology , antibiotics , gastric emptying , dysphagia , genetics , bacteria , microbiology and biotechnology , biology , endocrinology

Acute gastric dilatation is a potentially life-threatening entity that has been reported in patients with some acute infections like pneumonia and staphylococcal bacteremia. We describe a case of acute gastric dilatation presenting atypically in a 65-year-old diabetic with Salmonella diarrhoea. By the fourth day of hospital admission the patient's abdomen was distended in the absence of pain, nausea or vomiting. An abdominal radiograph showed marked gastric dilatation with no evidence of obstruction or ileus. With nasogastric tube insertion and initiation of intravenous antibiotics, the stomach was back to normal size. It is likely that Salmonella infection was the major cause of acute gastric dilatation in this patient.

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