Phlegmonous Gastritis in a Haemodialysis Patient with Secondary Amyloidosis

cystectomy for cholelisthiasis at age 48 years. AA Introduction amyloid deposition was detected in the gastric, duodenal, and colonic mucosa at age 50 years, when she Phlegmonous gastritis was first described by Galen in was admitted for congestive heart failure with moder- AD 160 and first appeared in the medical literature in ate pericardial e V usion, probably due to cardiac amyl- 1862 [1]. The disease is characterized by submucosal oidosis. She received balloon dilatation therapy for bacterial infection of the gastric wall, with a high pyloric stenosis due to scarring from a gastric ulcer. mortality rate of 64–92% [1]. Pathologically, the stom-Oral famotidine was started. In the next year, serum ach is dilated with the wall thickened and discoloured creatinine concentration increased to 2.0 mg / dl. Her red to purple. Alpha-haemolytic streptococci are most renal function deteriorated progressively over the next often isolated, whereas other micro-organisms such as 2 years and she was started on regular haemodialysis Staphylococcus, Streptococcus pneumoniae , Escherichia 3.5 months prior to admission. Her blood pressure coli , Enterobacter, Klebsiella, and Clostridium welchii was 80–100 / 50–60 mmHg before haemodialysis ses- have also been implicated [1]. Clinically the symptoms sions. The patient had taken prednisone (7.5 mg / day),