School of Medicine Publications and Presentations
Document Type
Article
Publication Date
10-28-2023
Abstract
Emphysematous gastritis is a rare entity that has not much literature available. It is known to manifest as a diffused wall inflammation and air within the wall of the stomach and has been associated with gas-forming organisms.
We present a complex case of a middle-aged woman with a previous history of fulminant Clostridium difficile complicated with colectomy and diverting colostomy. She was admitted due to diabetic ketoacidosis, later complicated with worsening abdominal pain, and a CT scan of the abdomen and pelvis without contrast revealed findings consistent with ischemic bowel, severe pneumatosis intestinalis, and extensive portal venous gas. A stomach biopsy revealed hemorrhagic necrosis; a Gomori methenamine silver stain was compatible with fungal organisms, Candida species, correlating with Candida emphysematous gastritis. This case highlights the importance of early diagnosis of this syndrome in order to provide appropriate management, and early identification, to improve survival.
Recommended Citation
Pinto, N. C., Bosch, J. N., Ng-Wong, Y. K., Menowsky, M., Shine, R., Malcom, J., ... & Malcolm, J. (2023). A Case Report of Candida-Induced Emphysematous Gastritis. Cureus, 15(10). https://doi.org/10.7759/cureus.47870
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Publication Title
Cureus
DOI
10.7759/cureus.47870
Academic Level
resident
Mentor/PI Department
Internal Medicine
Comments
© Copyright 2023 Pinto et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.