Published online Mar 28, 2015. doi: 10.3748/wjg.v21.i12.3741
Peer-review started: August 21, 2014
First decision: October 29, 2014
Revised: November 17, 2014
Accepted: December 20, 2014
Article in press: December 22, 2014
Published online: March 28, 2015
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.
Core tip: This is the first reported case of Bacillus thuringiensis as the suspected causative agent of rapidly progressive and fatal phlegmonitis of the esophagus, stomach, and duodenum in patient in an immunocompromised state. Even low-virulence bacilli may be a causative pathogen of gastrointestinal phlegmonitis in patients in an immunocompromised state.