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Tian H, Fan P, Luo F, Jiang C, Guo K, Gu N, Lu J, Luo J, Wang Z, Xing C. Post-endoscopic submucosal dissection phlegmonous enteritis: A case report and literature review. Heliyon 2024; 10:e23467. [PMID: 38173497 PMCID: PMC10761558 DOI: 10.1016/j.heliyon.2023.e23467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 11/30/2023] [Accepted: 12/05/2023] [Indexed: 01/05/2024] Open
Abstract
Background This study presents the initial case of phlegmonous enteritis following endoscopic submucosal dissection (ESD), a rare and potentially fatal complication. Additionally, a comprehensive review of relevant literature is provided. Case report A 66-year-old female patient, diagnosed with Hashimoto's thyroiditis and thrombocytopenia, underwent ESD to address a laterally spreading tumor located in the ascending colon. After the procedure, the patient manifested abdominal pain and a high fever, was diagnosed with peritonitis, necessitating an emergency exploratory laparotomy and right hemicolectomy. Subsequent histological examination indicated a significant presence of neutrophil infiltration across all layers of the intestines. The ascites culture yielded the growth of Escherichia coli. Literature review A search was conducted in the PubMed database to identify case reports conforming to the definition of phlegmonous enteritis proposed by Rokitansky et al. We retrieved about 30 studies regarding phlegmonous enteritis from 1951 to 2022, with around 39 cases. Among these, only 28 patients had comprehensive medical data available. Subsequently, an examination of the literature was undertaken to explore the pathogenesis, prevention, and treatment of phlegmonous enteritis. Conclusion The possibility of phlegmonous enteritis should be taken into consideration in cases of unexplained acute abdomen, particularly in patients with compromised immunity, in order to provide active surgical and antibiotic interventions.
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Affiliation(s)
- Hui Tian
- Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
- Department of Emergency Medicine, Dalian Municipal Central Hospital Affiliated of Dalian University of Technology, Dalian, 116000, China
| | - Pengchao Fan
- Hospital Infection Management Department, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116027, China
| | - Fuwen Luo
- Department of Acute Abdomen, General Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116027, China
| | - Chunmeng Jiang
- Department of Gastroenterology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
| | - Kun Guo
- Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
| | - Najin Gu
- Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
| | - Jie Lu
- Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
| | - Jiawen Luo
- Department of Radiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
| | - Zhiguo Wang
- Department of Gastroenterology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
| | - Chengjuan Xing
- Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116027, China
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Adrianza A, Pourfarrokh N, Choi H, Hwang M, Lukey J, Jinadatha C, Navarathna DH. Campylobacter coli bacteremia associated with diarrhea. IDCases 2023; 31:e01734. [PMID: 36911871 PMCID: PMC9992746 DOI: 10.1016/j.idcr.2023.e01734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/02/2023] [Accepted: 03/05/2023] [Indexed: 03/08/2023] Open
Abstract
Campylobacter coli (C. coli) is a gram negative, non-spore forming, mobile, curved, or spiral-shaped rod organisms and one of the most common gastrointestinal human pathogens. Campylobacter very rarely causes bacteremia. However, there are reports of bloodstream infection of C. coli and most of the Campylobacterbacteremia have been found among immunocompromised patients. In this study, a case of C. coli blood stream infection that was associated with diarrhea in an immunocompetent patient.
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Affiliation(s)
- Andres Adrianza
- Department of Pathology And Laboratory Medicine, Baylor Scott & White medical Center, Temple, TX, USA
| | - Niloufar Pourfarrokh
- Department of Pathology And Laboratory Medicine, Baylor Scott & White medical Center, Temple, TX, USA
| | - Hosoon Choi
- Department of Research, Central Texas Veterans Health Care System, Temple, TX, USA
| | - Munok Hwang
- Department of Research, Central Texas Veterans Health Care System, Temple, TX, USA
| | - Janell Lukey
- Department of Pathology and Laboratory Medicine Services, Central Texas Veterans Health Care System, Temple, TX, USA
| | - Chetan Jinadatha
- Department of Research, Central Texas Veterans Health Care System, Temple, TX, USA.,Department of Medicine, Central Texas Veterans Health Care System, Temple, TX, USA
| | - Dhammika H Navarathna
- Department of Pathology and Laboratory Medicine Services, Central Texas Veterans Health Care System, Temple, TX, USA
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