ACUTE GASTRITIS ASSOCIATED WITH INFECTION OF LARGE SPIRAL-SHAPED BACTERIA

We report a case of gastric colonization of large spiral-shaped bacter ia in a patient with acute gastritis. Endoscopy showed an acute erosiv e and hemorrhagic gastroduodenitis. Histopathological examination of a ntral biopsies revealed intense neutrophil infiltrates with microabsce sses. Numerous large spiral-shaped bacteria were seen in the Gram-stai ned smear of the gastric biopsy. The patient was treated with colloida l bismuth subcitrate and cimetidine, Biopsy taken after treatment show ed resolution of infection and histological gastritis, The results pro vide further evidence that large spiral-shaped bacteria are another in fective cause of acute neutrophilic gastritis in humans.