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Phlegmonous Esophagitis


Presentation

  • We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis.[ncbi.nlm.nih.gov]
  • The acute phlegmonous esophagitis of the present case might have been evoked and worsened by chemoradiotherapy due to its emetic and myelosuppressive adverse effects, respectively.[ncbi.nlm.nih.gov]
  • Confirm each diagnosis by consulting a section, organized by symptoms, that presents the full range of differential diagnoses and treatment options for each specific condition.[books.google.com]
  • Modern Surgical Pathology, 2nd Edition presents today's most complete, current, and practical assistance in evaluating and signing out surgical specimens.[books.google.com]
  • CASE REPORT A 57-year-old, well-nourished female presented with a sore throat for 5 days and subsequent odynophagia, dysphagia, and chest pain. Her medical history was remarkable only for hypertension.[academic.oup.com]
Pain
  • We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis.[ncbi.nlm.nih.gov]
  • After a changing of the NG tube on postoperative day 10, the patient experienced a sudden onset of retrosternal pain, and copious pus was expelled from the mouth after NG-tube removal.[academic.oup.com]
  • Living With Your Diagnosis Abdominal pain and chronic diarrhea are the most common symptoms of Crohn's disease. The abdominal pain is usually right sided or around the navel. Eating may make the pain worse. The diarrhea can sometimes be bloody.[giassoc.org]
  • During periods of exacerbation – constant pain in the stomach, aggravated by starvation or 1.5-2 hours after eating. Appear nocturnal pain.[qsota.com]
Fever
  • Abstract A 43-year-old man admitted for high fever, jaundice, dysphagia and elevated C-reactive protein was found in computed tomography (CT) to have diffuse wall thickening of the esophagus with intramural low density.[jstage.jst.go.jp]
  • An 86-year-old woman presented with a sore throat and high fever after eating fish. She was first diagnosed with a deep cervical abscess, and conservative treatment was initially selected.[link.springer.com]
  • A physical examination revealed fever (38.2 C) and abdominal tenderness.[e-sciencecentral.org]
  • It is not usual for people who suffer from phlegmonous gastritis to also experience certain other symptoms such as hiccups, chills and sometimes even fever.[ic.steadyhealth.com]
Fishing
  • An 86-year-old woman presented with a sore throat and high fever after eating fish. She was first diagnosed with a deep cervical abscess, and conservative treatment was initially selected.[link.springer.com]
  • After 10-12 days allowed meat and fish cakes, steamed, pureed soups. In good health and with the permission of the doctor, the diet can be expanded, but sharp and irritating food should be deleted for a long time. Absolutely contraindicated alcohol.[qsota.com]
  • Anisakidosis is acquired by eating contaminated sushi and other types of contaminated raw fish. It often causes severe abdominal pain that subsides within a few days.[emedicine.medscape.com]
  • The ulcer base shows a small amount of blood but is otherwise clean. 40 41 8.2 tumor of digestive system 42 8.2.1 Gastric carcinoma Epidemiology: Japan/ Chile/ Columbia Risk factors: dietary factors: smoked fish and meats/ pickled vegetables HP infection[slideplayer.com]
Sepsis
  • Urgent bilateral cervicotomy with drainage and tracheostomy were performed due to a concern of sepsis and respiratory distress.[academic.oup.com]
  • : rare; due to suppurative bacterial infection; high mortality; most common pathogens are Streptococcus, Staphylococcus, Escherichia coli, Hemophilus influenzae, Proteus, Clostridium Necrotizing infectious esophagitis also has high mortality, due to sepsis[pathologyoutlines.com]
  • Acute Gastritis (Erosive/Hemorrhagic) Most common causes: NSAIDS gastric injury by diminishing prostaglandin production in stomach and duodenum Alcohol use is the leading cause of gastritis Stress from CNS injury burns, sepsis, surgery Portal hypertension[slideshare.net]
High Fever
  • Abstract A 43-year-old man admitted for high fever, jaundice, dysphagia and elevated C-reactive protein was found in computed tomography (CT) to have diffuse wall thickening of the esophagus with intramural low density.[jstage.jst.go.jp]
  • An 86-year-old woman presented with a sore throat and high fever after eating fish. She was first diagnosed with a deep cervical abscess, and conservative treatment was initially selected.[link.springer.com]
Respiratory Distress
  • Urgent bilateral cervicotomy with drainage and tracheostomy were performed due to a concern of sepsis and respiratory distress.[academic.oup.com]
  • Acute respiratory distress syndrome due to strongyloides stercolaris infection in a patient with cervical cancer. Intern Med 54: 83-87, 2015. 4) Harding Y, Ooyama T, Kudaka W, Inamine M, Nagai Y, Ueda S, Aoki Y.[ryukyu-obgyn.jp]
Aspiration
  • Phlegmonous gastritis caused by endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). Dig Endosc. 2012;24:488. CrossRef PubMed Google Scholar 9. Kim GY, Ward J, Henessey B, et al. Phlegmonous gastritis: case report and review.[link.springer.com]
  • Upper GI bleed 4x more common than lower GI bleed R/O upper GI source by NG tube aspirate 74. Upper GI Differential Dx aids Signs of chronic liver disease implicates bleeding due to portal HTN.[slideshare.net]
Tachypnea
  • Physical examination was noteworthy for tachypnea, stridor, and cervical skin inflammation.[academic.oup.com]
Dysphagia
  • Abstract A 43-year-old man admitted for high fever, jaundice, dysphagia and elevated C-reactive protein was found in computed tomography (CT) to have diffuse wall thickening of the esophagus with intramural low density.[jstage.jst.go.jp]
  • CASE REPORT A 57-year-old, well-nourished female presented with a sore throat for 5 days and subsequent odynophagia, dysphagia, and chest pain. Her medical history was remarkable only for hypertension.[academic.oup.com]
  • Epidemiology The most common type of esophageal cancer Males females; age usually 50 Risk factors Heavy smoking and alchol use Achalasia Plummer-vinson syndrome Tylosis Prior lye ingestion Presentation Often asymptomatic until late in the course Progressive dysphagia[slideplayer.com]
  • Patients may have symptoms that simulate gastroesophageal reflux disease, although many present with progressive dysphagia and/or recurrent food impaction.[nature.com]
Loss of Appetite
  • The most common symptoms of acute gastritis include abdominal bloating, belching, loss of appetite, vomiting, nausea and nondescript epigastric discomfort. Some cases of acute gastritis may also be accompanied by painful sensations in the abdomen.[ic.steadyhealth.com]
  • Symptoms of Crohn's Disease Persistent Diarrhea Abdominal pain Fever Rectal bleeding Loss of appetite Weight loss Fatigue Severity of Symptoms Symptoms can range from mild to severe.[giassoc.org]
  • Symptoms of duodenitis – a feeling of fullness in the upper abdomen (“always”), – loss of appetite, – heartburn, – belching, – sometimes nausea or vomiting bile, – the constipation.[qsota.com]
  • In the chronic phase, the pain may be dull and there may be loss of appetite with a feeling of fullness after several bites of food. Very often, there are no symptoms at all. If the pain is severe, there may be an ulcer as well as gastritis.[gicare.com]
Odynophagia
  • We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis.[ncbi.nlm.nih.gov]
  • After intravenous antibiotics, he improved but experi-enced dysphagia and odynophagia. Repeated chest CT and endoscopy following day 100 of hospitalization showed esophageal stenosis and extraluminal barium leakage.[jstage.jst.go.jp]
  • CASE REPORT A 57-year-old, well-nourished female presented with a sore throat for 5 days and subsequent odynophagia, dysphagia, and chest pain. Her medical history was remarkable only for hypertension.[academic.oup.com]
Odynophagia
  • We report a woman presenting with unrelenting odynophagia and chest pain. Computed tomography identified a deep neck infection with acute phlegmonous esophagitis.[ncbi.nlm.nih.gov]
  • After intravenous antibiotics, he improved but experi-enced dysphagia and odynophagia. Repeated chest CT and endoscopy following day 100 of hospitalization showed esophageal stenosis and extraluminal barium leakage.[jstage.jst.go.jp]
  • CASE REPORT A 57-year-old, well-nourished female presented with a sore throat for 5 days and subsequent odynophagia, dysphagia, and chest pain. Her medical history was remarkable only for hypertension.[academic.oup.com]
Jaundice
  • Abstract A 43-year-old man admitted for high fever, jaundice, dysphagia and elevated C-reactive protein was found in computed tomography (CT) to have diffuse wall thickening of the esophagus with intramural low density.[jstage.jst.go.jp]
Dermatitis
  • The disease likely results from a combination of genetic, immunologic, and environmental factors and is more common among patients with a history of food allergies, atopic dermatitis, peripheral eosinophilia, or bronchial asthma.[nature.com]
Hyperesthesia
  • المحتويات Subacidity of the Gastric Juice 184 Gastric Hyperesthesia 192 Hypermotility 199 Morning Diarrhea 208 Cholera Infantum 215 Mucous Colitis 227 Dysentery 233 Carcinoma of the Intestines 243 Benign Tumors of the Intestines 246 Splanchnoptosis 252[books.google.com]

Treatment

  • Treatment sections explain the most likely treatment for each pathology along with its prognosis Radiographer Notes include tips for producing optimal radiographs along with patient management recommendations.[books.google.com]
  • She was first diagnosed with a deep cervical abscess, and conservative treatment was initially selected. However, her respiratory failure worsened, so emergent tracheostomy and surgical drainage were performed.[link.springer.com]
  • Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments.[books.google.com]
  • The patient fortunately survived after intensive treatment. The acute phlegmonous esophagitis of the present case might have been evoked and worsened by chemoradiotherapy due to its emetic and myelosuppressive adverse effects, respectively.[ncbi.nlm.nih.gov]

Prognosis

  • Phlegmonous infection involving the digestive tract has been reported to have a poor prognosis. However, the pathogenesis and clinical features of acute phlegmonous esophagitis have remained unclear due to the rarity of the disease.[ncbi.nlm.nih.gov]
  • Treatment sections explain the most likely treatment for each pathology along with its prognosis Radiographer Notes include tips for producing optimal radiographs along with patient management recommendations.[books.google.com]
  • : poor Adenocarcinoma Arises in the distal esophagus Associated with Barrett esophagus and dysplasia Prognosis: poor 5 6 7 GASTRITIS 8 inflammation of gastric mucosa acute gastritis pathogens clear acute inflammation (neutrophils ) chronic gastritis autoimmune[slideplayer.com]
  • MicroRNA Profiles to Predict Postoperative Prognosis in Patients with Small Cell Carcinoma of the Esophagus.[med.u-toyama.ac.jp]
  • Treatment and prognosis of brain metastases from gynecological cancers. Neurol Med Chir (Tokyo) 2008;48:57-63. 5) Mekaru K, Kamiyama S, Masamoto H, Yagi C, Hirakawa M, Inamine M, Nagai Y, Sakumoto K, Aoki Y.[ryukyu-obgyn.jp]

Etiology

  • An underlying etiology or abnormal anatomy, such as inflammation, intramural hematoma, stricture, or diverticula may complicate NG-tube insertion and predispose to this intractable condition [ 2 ].[academic.oup.com]
  • The etiologies of primary aortic thrombosis are diverse, ranging from chemotherapy to treat cancer to heparin-induced thrombocytopenia and inflammatory bowel disease [ 4 ].[e-sciencecentral.org]
  • Cow’s milk protein, either alone or in combination with soy protein, has been implicated as a major etiologic factor.[nature.com]
  • Ulcero-hemorrhagic gastritis is believed to be secondary to ischemia related to hypotension and shock or to the release of vasoconstrictive substances, but the etiology is often unknown.[emedicine.medscape.com]

Epidemiology

  • Updated content prepares you for today's practice with the latest on morbidity, mortality, and epidemiology; invasive squamous cell carcinoma; scoliosis; joint replacements; chest tubes and lines; MRSA (antibiotic-resistant staph infection); systemic[books.google.com]
  • The ulcer base shows a small amount of blood but is otherwise clean. 40 41 8.2 tumor of digestive system 42 8.2.1 Gastric carcinoma Epidemiology: Japan/ Chile/ Columbia Risk factors: dietary factors: smoked fish and meats/ pickled vegetables HP infection[slideplayer.com]
  • Disease definition, clinical manifestations, epidemiology and natural history of GERD. Best Pract Res Clin Gastroenterol 2010; 24 :759–764. 20. Johnson LF, Demeester TR, Haggitt RC. Esophageal epithelial response to gastroesophageal reflux.[nature.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology There are a large number of different causes of acute gastritis but the most common ones include direct trauma, food poisoning, allergies, radiation, shock, acute stress, fungal infections, viral infections, bacterial infections, ischemia[ic.steadyhealth.com]
  • Although the pathophysiology of acute pancreatitis leading to aortic thrombosis is not clear, several hypotheses have been suggested.[e-sciencecentral.org]

Prevention

  • So as to evacuate the abscess within the esophageal wall completely and prevent possible mediastinal contamination due to esophageal perforation, we delayed the closure of the dissection orifice, instead of an incision of the dissected septum, and treated[academic.oup.com]
  • The main goal of treatment is to remove the cause of the phlegmonous process in order to achieve effective treatment and prevention of residives.[diki.pl]
  • Vaginal yeast infection Although many women feel cleaner if they douche after their period or intercourse This may help to prevent a yeast infection.[jachty24.eu]
  • Prevention duodenitis must include full and regular meals, limiting acute and irritant foods, alcohol, early detection and treatment of digestive diseases, parasitic diseases. About Duodenitis[qsota.com]

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