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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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
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author Chatani, Motoharu
Kishita, Megumi
Inatomi, Osamu
Takahashi, Kenichiro
Sugimoto, Mitsushige
Sonoda, Ayano
Kawahara, Masahiro
Bamba, Shigeki
Kito, Katsuyuki
Kushima, Ryoji
Andoh, Akira
author_facet Chatani, Motoharu
Kishita, Megumi
Inatomi, Osamu
Takahashi, Kenichiro
Sugimoto, Mitsushige
Sonoda, Ayano
Kawahara, Masahiro
Bamba, Shigeki
Kito, Katsuyuki
Kushima, Ryoji
Andoh, Akira
author_sort Chatani, Motoharu
collection PubMed
description 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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spelling pubmed-69284902019-12-26 Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection Chatani, Motoharu Kishita, Megumi Inatomi, Osamu Takahashi, Kenichiro Sugimoto, Mitsushige Sonoda, Ayano Kawahara, Masahiro Bamba, Shigeki Kito, Katsuyuki Kushima, Ryoji Andoh, Akira Intern Med Case Report 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. The Japanese Society of Internal Medicine 2019-12-01 2019-12-01 /pmc/articles/PMC6928490/ /pubmed/31787630 http://dx.doi.org/10.2169/internalmedicine.3254-19 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Chatani, Motoharu
Kishita, Megumi
Inatomi, Osamu
Takahashi, Kenichiro
Sugimoto, Mitsushige
Sonoda, Ayano
Kawahara, Masahiro
Bamba, Shigeki
Kito, Katsuyuki
Kushima, Ryoji
Andoh, Akira
Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection
title Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection
title_full Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection
title_fullStr Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection
title_full_unstemmed Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection
title_short Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection
title_sort severe colitis with portal venous gas caused by brachyspira pilosicoli infection
topic Case Report
url 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
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