{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:42:48Z","timestamp":1756381368507,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,22]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>\n                  <jats:italic>Helicobacter pylori<\/jats:italic> infection could cause chronic inflammation in the stomach and induce peptic ulcer disease or even malignant tumour. The initial infection of the organism happens in childhood but most of cases are latent. We had a case of 10-year-old girl who presented with acute epigastric pain and significant thickening of the stomach wall on CT. The finding seemed atypical for acute gastritis so oesophagogastroduodenoscopy and serology examination were added and the primary infection of <jats:italic>H. pylori<\/jats:italic> was confirmed with the exclusion of other possible diagnoses like eosinophilic gastritis and IgA vasculitis. Acute gastritis is one of the most common sickness in children, however, it would be worthwhile considering further investigation including <jats:italic>H. pylori<\/jats:italic> infection in a case of atypical presentation to prevent negative consequences derived from chronic <jats:italic>H. pylori<\/jats:italic> infection.<\/jats:p>","DOI":"10.1136\/bcr-2021-243912","type":"journal-article","created":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T11:50:50Z","timestamp":1625831450000},"page":"e243912","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Atypical presentation at acute gastritis: significant gastric wall thickening as a presentation of a primary <i>Helicobacter pylori<\/i> infection in children"],"prefix":"10.1136","volume":"14","author":[{"given":"Kiyokuni","family":"Nakamura","sequence":"first","affiliation":[{"name":"Pediatric Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5387-9635","authenticated-orcid":false,"given":"Ryo","family":"Tamura","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshitomi","family":"Yasui","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideaki","family":"Okajima","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,9]]},"reference":[{"key":"2025082803592880000_14.7.e243912.1","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1056\/NEJMra020542","article-title":"Helicobacter pylori Infection","volume":"347","author":"Suerbaum","year":"2002","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082803592880000_14.7.e243912.2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.epirev.a018040"},{"key":"2025082803592880000_14.7.e243912.3","first-page":"339","article-title":"Menetrier's disease associated with cytomegalovirus infection in a child","volume":"41","author":"Chang","year":"2000","journal-title":"Acta Paediatr Taiwan"},{"key":"2025082803592880000_14.7.e243912.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39036.406169.80"},{"key":"2025082803592880000_14.7.e243912.5","doi-asserted-by":"crossref","first-page":"300","DOI":"10.2214\/ajr.103.2.300","article-title":"Menetrier\u2019s disease of the stomach in children","volume":"103","author":"BURNS","year":"1968","journal-title":"Am J Roentgenol"},{"key":"2025082803592880000_14.7.e243912.6","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/0016-5085(81)90079-2","article-title":"M\u00e9n\u00e9trier's disease in children: report of a patient and review of sixteen other cases","volume":"80","author":"Chouraqui","year":"1981","journal-title":"Gastroenterology"},{"key":"2025082803592880000_14.7.e243912.7","doi-asserted-by":"crossref","first-page":"179","DOI":"10.3109\/15513818309040655","article-title":"Menetrier's disease in children: report of a case and review of the pediatric literature","volume":"1","author":"Knight","year":"1983","journal-title":"Pediatr Pathol"},{"key":"2025082803592880000_14.7.e243912.8","doi-asserted-by":"crossref","first-page":"478","DOI":"10.5858\/2003-127-0478-SGSTEV","article-title":"Severe gastritis secondary to Epstein-Barr viral infection. unusual presentation of infectious mononucleosis and associated diffuse lymphoid hyperplasia in gastric mucosa","volume":"127","author":"Zhang","year":"2003","journal-title":"Arch Pathol Lab Med"},{"key":"2025082803592880000_14.7.e243912.9","doi-asserted-by":"publisher","DOI":"10.1148\/rg.283065179"},{"key":"2025082803592880000_14.7.e243912.10","doi-asserted-by":"crossref","unstructured":"Holm TL , Dietz CA . 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