Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection

We herein report a case of Brachyspira pilosicoli-caused severe colitis presenting with portal venous gas. A 75-year-old man was admitted because of a fever, severe abdominal pain and bloody diarrhea. He was negative for anti-HIV antibodies. He had been in close contact with a dog earlier. Abdominal...

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Detalles Bibliográficos
Autores principales: Chatani, Motoharu, Kishita, Megumi, Inatomi, Osamu, Takahashi, Kenichiro, Sugimoto, Mitsushige, Sonoda, Ayano, Kawahara, Masahiro, Bamba, Shigeki, Kito, Katsuyuki, Kushima, Ryoji, Andoh, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928490/
https://www.ncbi.nlm.nih.gov/pubmed/31787630
http://dx.doi.org/10.2169/internalmedicine.3254-19
Descripción
Sumario:We herein report a case of Brachyspira pilosicoli-caused severe colitis presenting with portal venous gas. A 75-year-old man was admitted because of a fever, severe abdominal pain and bloody diarrhea. He was negative for anti-HIV antibodies. He had been in close contact with a dog earlier. Abdominal computed tomography detected severe wall-thickening and fat-stranding of the entire colon accompanied by portal venous gas. A smear examination of his stool showed many Gram-negative spiral rods, suggesting intestinal spirochetosis. A polymerase chain reaction assay using stool samples detected an amplified band specific for B. pilosicoli. He responded well to antimicrobial agents including metronidazole.

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