CASE REPORT OF PHLEGMONOUS GASTRITIS

Abstract

Phlegmonous gastritis (PG) is a rare, suppurative bacterial infection of the gastric wall. We
report a case of a 45-year-old male who presented with severe epigastric and right upper
quadrant abdominal pain. The serum alanine aminotransferase, total bilirubin, alkaline
phosphatase, lactate dehydrogenase, amylase, and lipase were within normal ranges. On
hospital day 10, the antibiotic regimen was changed to orally administered
amoxicillin/clavulanic acid and clindamycin. The patient was discharged on hospital day 11.
This case emphasized the importance of early diagnosis of this potentially fatal infection that
can follow endoscopic procedures and illustrates ACS and septic shock as serious
complications.