title: Fulminant phlegmonitis of the esophagus, stomach, and duodenum due to Bacillus thuringiensis.
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.
authors.affiliation: 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.
authors.forename: Hisatake
authors.initials: H
authors.lastname: Matsumoto
authors.affiliation: 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.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ogura
authors.affiliation: 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.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Seki
authors.affiliation: 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.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Ohnishi
authors.affiliation: 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.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shimazu
mesh_terms: D000368:Aged; D001413:Bacillus thuringiensis / Q000276:immunology / Q000302:isolation & purification* / Q000472:pathogenicity; D004382:Duodenitis / Q000175:diagnosis / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D016099:Endoscopy, Gastrointestinal; D004941:Esophagitis / Q000175:diagnosis / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D017809:Fatal Outcome; D005756:Gastritis / Q000175:diagnosis / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D014057:Tomography, X-Ray Computed; D014774:Virulence
keywords: Bacillus thuringiensis; Duodenum; Esophagus; Immunocompromised state; Phlegmonous gastritis
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