A Case of Necrotizing Fasciitis and Severe Sepsis Complicated by Emphysematous Gastritis

Tae-Geun Gweon; Ah-Young Shin; Sung-Ha Bae; Ji-Min Lee; Su-Nam Lee; Mi-Hyang Jung; Young-Bin Ju; Tae Ho Kim; Il-Jung Park; Jin-Hong Yoo

doi:10.3947/ic.2010.42.5.303

Journal List > Infect Chemother > v.42(5) > 1035032

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Gweon, Shin, Bae, Lee, Lee, Jung, Ju, Kim, Park, and Yoo: A Case of Necrotizing Fasciitis and Severe Sepsis Complicated by Emphysematous Gastritis

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2010; 42(5): 303-306.

Published online: 31 October 2010

DOI: https://doi.org/10.3947/ic.2010.42.5.303

A Case of Necrotizing Fasciitis and Severe Sepsis Complicated by Emphysematous Gastritis

Tae-Geun Gweon¹, Ah-Young Shin¹, Sung-Ha Bae¹, Ji-Min Lee¹, Su-Nam Lee¹, Mi-Hyang Jung¹, Young-Bin Ju¹, Tae Ho Kim¹, Il-Jung Park², Jin-Hong Yoo¹

¹Department of Internal Medicine, the Catholic University of Korea, College of Medicine, Seoul, Korea.

²Department of Orthopedics, the Catholic University of Korea, College of Medicine, Seoul, Korea.

Correspondence to Jin-Hong Yoo, M.D., Ph.D. Department of Internal Medicine, Bucheon St. Mary's Hospital, 2-Sosa-dong, Wonmi-gu, Bucheon 420-717, Korea. Tel: +82-32-1577-0675, Fax: +82-32-340-2669, jhyoo@catholic.ac.kr

Received 14 April 2010 Revised 28 July 2010 Accepted 2 August 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of necrotizing fasciitis and severe sepsis complicated by emphysematous gastritis. The patient initially presented with sepsis due to extensive necrotizing fasciitis. Although he recovered from severe sepsis after intensive treatment including amputation of involved lesion, fatal emphysematous gastritis developed later during long-term hospitalization. To the best of our knowledge, this is the first report on emphysematous gastritis associated with necrotizing fasciitis and sepsis.

Keywords: Necrotizing fasciitis, Sepsis, Emphysematous gastritis

Figures and Tables

Figure 1

The plain abdominal radiography shows massively distended stomach.

Figure 2

Computed tomography (CT) scan of the abdomen show extensive air shadow along the entire gastric wall and massively distended stomach.

Figure 3

Gastrofiberscopic examination shows broad and shallow mucosal denudation with hemorrhagic surface and necrotic tissues on the entire lumen.

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