Sarcina ventriculi a rare pathogen

Authors

  • Luciano Paludo Marcelino Universidade Federal do Rio Grande do Sul (UFRGS), Medical School, Porto Alegre, RS, Brasil. https://orcid.org/0000-0002-9257-1016
  • Dirceu Felipe Valentini Junior Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre, Service of Digestive Surgery, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-5567-0429
  • Simone Márcia dos Santos Machado Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre, Service of Pathology, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-6141-3605
  • Pedro Guilherme Schaefer Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre, Service of Pathology, Porto Alegre, RS, Brasil https://orcid.org/0000-0003-2792-6586
  • Raquel Camara Rivero Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre, Service of Pathology, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-2245-8958
  • Alessandro Bersch Osvaldt Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre, Service of Digestive Surgery, Group for Biliary Tract and Pancreas, Porto Alegre, RS, Brasil https://orcid.org/0000-0002-5863-6656

DOI:

https://doi.org/10.4322/acr.2021.337

Keywords:

Sarcina, Clostridium, Gastroparesis

Abstract

Sarcina ventriculi is a gram-positive bacterium, able to survive in extreme low pH environment. It’s first description dates from 1842, by John Goodsir. Since then, just a few cases have been reported. In veterinary medicine, especially in ruminants, it causes bloating, vomiting, gastric perforation and death of the animal. It is commonly associated with delayed gastric emptying or obstruction to gastric outlet, although it’s pathogenicity in humans is not fully understood. We report two cases with identification of the bacteria in gastric specimens stained with hematoxylin-eosin staining, in different clinical settings. The first patient is a young female patient, presenting cardiac arrest and death after gastric perforation and the second patient an adult male presenting with gastric adenocarcinoma, treated with partial gastrectomy followed by adjuvant chemoradiation. In our literature review, we identified forty-five cases reporting Sarcina ventriculi appearance, with a sudden increase since 2010.

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Published

2021-10-20

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Section

Review Article

How to Cite

Paludo Marcelino, L. ., Valentini Junior, D. F. ., dos Santos Machado, S. M. ., Schaefer, P. G. ., Camara Rivero, R. ., & Bersch Osvaldt, A. . (2021). Sarcina ventriculi a rare pathogen. Autopsy and Case Reports, 11, e2021337. https://doi.org/10.4322/acr.2021.337