Phlegmonous gastritis in a patient with mixed-phenotype acute leukemia in the neutropenia phase during chemotherapy
| Autor: | Dayu Shi, Meng Lv, Ting Zhao, Jinde He, Qian Jiang, Rui Liu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Chemotherapy
medicine.medical_specialty Acute leukemia medicine.diagnostic_test biology business.industry medicine.medical_treatment Standard treatment Induction chemotherapy Physical examination General Medicine Neutropenia medicine.disease biology.organism_classification Gastroenterology Endoscopy 03 medical and health sciences Stenotrophomonas maltophilia 0302 clinical medicine 030220 oncology & carcinogenesis Internal medicine Medicine 030212 general & internal medicine business |
| Zdroj: | Medicine. 98:e17777 |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000017777 |
| Popis: | RATIONALE Phlegmonous gastritis is a rare bacterial infection of the gastric wall with high mortality. However, diagnosis of phlegmonous gastritis is difficult and standard treatment remains unestablished. PATIENT CONCERNS We report a 33-year-old male patient with mixed-phenotype acute leukemia who developed acute phlegmonous gastritis during the neutropenia phase on induction chemotherapy and was successfully treated. DIAGNOSES The patient was diagnosed with phlegmonous gastritis, which might be caused by Stenotrophomonas maltophilia on the basis of clinical manifestation, physical examination, enhanced computed tomography scan, histological finding, and microorganism culture of biopsied specimen in endoscopy. INTERVENTIONS The patient was treated with gastrointestinal decompression and broad-spectrum antibiotics. OUTCOMES He recovered from phlegmonous gastritis and received the 2nd cycle of chemotherapy with no complaint of abdominal discomfort. LESSONS Early recognition and proper management including broad-spectrum antibiotics are key approaches to phlegmonous gastritis. |
| Databáze: | OpenAIRE |
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