Infect Chemother.  2010 Oct;42(5):303-306. 10.3947/ic.2010.42.5.303.

A Case of Necrotizing Fasciitis and Severe Sepsis Complicated by Emphysematous Gastritis

  • 1Department of Internal Medicine, the Catholic University of Korea, College of Medicine, Seoul, Korea.
  • 2Department of Orthopedics, the Catholic University of Korea, College of Medicine, Seoul, Korea.


We report a case of necrotizing fasciitis and severe sepsis complicated by emphysematous gastritis. The patient initially presented with sepsis due to extensive necrotizing fasciitis. Although he recovered from severe sepsis after intensive treatment including amputation of involved lesion, fatal emphysematous gastritis developed later during long-term hospitalization. To the best of our knowledge, this is the first report on emphysematous gastritis associated with necrotizing fasciitis and sepsis.


Necrotizing fasciitis; Sepsis; Emphysematous gastritis

MeSH Terms

Fasciitis, Necrotizing


  • Figure 1 The plain abdominal radiography shows massively distended stomach.

  • Figure 2 Computed tomography (CT) scan of the abdomen show extensive air shadow along the entire gastric wall and massively distended stomach.

  • Figure 3 Gastrofiberscopic examination shows broad and shallow mucosal denudation with hemorrhagic surface and necrotic tissues on the entire lumen.


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