Fulminant phlegmonitis of the esophagus, stomach, and duodenum due to Bacillus thuringiensis

Hisatake Matsumoto; Hiroshi Ogura; Masafumi Seki; Mitsuo Ohnishi; Takeshi Shimazu

doi:10.3748/wjg.v21.i12.3741

Fulminant phlegmonitis of the esophagus, stomach, and duodenum due to Bacillus thuringiensis

World J Gastroenterol. 2015 Mar 28;21(12):3741-5. doi: 10.3748/wjg.v21.i12.3741.

Authors

Hisatake Matsumoto¹, Hiroshi Ogura¹, Masafumi Seki¹, Mitsuo Ohnishi¹, Takeshi Shimazu¹

Affiliation

¹ Hisatake Matsumoto, Hiroshi Ogura, Mitsuo Ohnishi, Takeshi Shimazu, Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.

Abstract

We report a case of phlegmonitis of the esophagus, stomach, and duodenum in patient in an immunocompromised state. Culture of gastric juice and blood yielded Bacillus thuringiensis. This case showed that even low-virulence bacilli can cause lethal gastrointestinal phlegmonous gastritis in conditions of immunodeficiency.

Keywords: Bacillus thuringiensis; Duodenum; Esophagus; Immunocompromised state; Phlegmonous gastritis.

Publication types

Case Reports

MeSH terms

Aged
Bacillus thuringiensis / immunology
Bacillus thuringiensis / isolation & purification*
Bacillus thuringiensis / pathogenicity
Duodenitis / diagnosis
Duodenitis / immunology
Duodenitis / microbiology*
Duodenitis / therapy
Endoscopy, Gastrointestinal
Esophagitis / diagnosis
Esophagitis / immunology
Esophagitis / microbiology*
Esophagitis / therapy
Fatal Outcome
Gastritis / diagnosis
Gastritis / immunology
Gastritis / microbiology*
Gastritis / therapy
Gram-Positive Bacterial Infections / diagnosis
Gram-Positive Bacterial Infections / immunology
Gram-Positive Bacterial Infections / microbiology*
Gram-Positive Bacterial Infections / therapy
Humans
Immunocompromised Host
Male
Tomography, X-Ray Computed
Virulence