A case of phlegmonous gastritis which resolved with medical treatment

DOI 4 Citations 23 References
  • ISHIGAMI Terunobu
    Department of Gastroenterology, Social Insurance Yokohama Central Hospital
  • FUJIKAWA Hirotoshi
    Department of Gastroenterology, Social Insurance Yokohama Central Hospital
  • MIYAGAWA Masahide
    Department of Gastroenterology, Social Insurance Yokohama Central Hospital
  • ARAKAWA Yasuyuki
    Department of Gastroenterology, Akiru Municipal General Hospital
  • ABE Hisako
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine
  • RYUZAKI Hitomi
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine
  • MATSUOKA Shunichi
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine
  • MORIYAMA Mitsuhiko
    Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine

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Other Title
  • 内科的治療により軽快した胃蜂窩織炎の1例

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Description

A 70-year-old man visited our outpatient clinic with chief complaints of severe upper abdominal pain and fever. Blood tests revealed a markedly enhanced inflammatory reaction. He was hospitalized and diagnosed with phlegmonous gastritis based on findings of esophagogastroduodenoscopy and multidrug-resistant streptococcus detected by gastric juice culture. The clinical symptoms promptly resolved after starting concomitant treatment with vancomycin hydrochloride and levofloxacin. Administration of vancomycin hydrochloride for phlegmonous gastritis was not found in our literature search and the present case is thus considered to provide a valuable example of such use.<br>

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