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Sepsis due to phlegmonous gastritis in a cancer patient
Author(s) -
César Gutiérrez Pérez,
Irene Chivato MartínFalquina,
Inmaculada Rodríguez Ledesma,
Alicia Cuenca Zarzuela,
Javier Soto Alsar,
D.S. Juliao Caamaño,
R. Rodríguez,
Carlos García Girón
Publication year - 2022
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2022.9009/2022
Subject(s) - medicine , intensive care unit , gastritis , sepsis , emergency department , febrile neutropenia , neutropenia , intensive care medicine , abdominal pain , cancer , antibiotics , chemotherapy , helicobacter pylori , psychiatry , microbiology and biotechnology , biology
We bring forward a case of a 58-year-old female who, undergoing treatment for glioblastoma with temozolomide and radiotherapy, visited the Emergency Department due to acute abdominal pain and chemotherapy-induced febrile neutropenia. She was diagnosed with sepsis due to phlegmonous gastritis. After several weeks in the Intensive Care Unit with antimicrobial coverage, our patient was discharged. Conceptually, phlegmonous gastritis is a highly unusual bacterial infection of the gastric wall. Intrinsically related to the alteration of the immune system, and frequently linked to cancer patients, its high morbidity and mortality and exceptional casuistry require early treatment and clinical suspicion.

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