Intestinal Spirochetosis: A Case Series and Review of the Literature.
Antibiotics
Co-infection
Endoscopy
Polyps
Spirochete infections
Journal
Pediatric gastroenterology, hepatology & nutrition
ISSN: 2234-8646
Titre abrégé: Pediatr Gastroenterol Hepatol Nutr
Pays: Korea (South)
ID NLM: 101590471
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
08
02
2018
revised:
17
04
2018
accepted:
16
05
2018
entrez:
23
3
2019
pubmed:
23
3
2019
medline:
23
3
2019
Statut:
ppublish
Résumé
A clinical suspicion of intestinal spirochetosis is required when patients have long lasting complaints of abdominal pain, diarrhea, rectal bleeding, weight loss, and nausea. An endoscopy with biopsies needs to be performed to confirm the diagnosis of intestinal spirochetosis. The diagnosis of intestinal spirochetosis is based on histological appearance. Intestinal spirochetosis can also be associated with other intestinal infections and juvenile polyps (JPs). JPs seem to be more frequent in patients with intestinal spirochetosis than in patients without intestinal spirochetosis. Intestinal spirochetosis in children should be treated with antibiotics. Metronidazole is the preferred option. In this article, we describe 4 cases of intestinal spirochetosis in a pediatric population and provide a review of the literature over the last 20 years. Intestinal spirochetosis is a rare infection that can cause a variety of severe symptom. It is diagnosed based on histological appearance.
Identifiants
pubmed: 30899696
doi: 10.5223/pghn.2019.22.2.193
pii: 2019220210
pmc: PMC6416382
doi:
Types de publication
Case Reports
Langues
eng
Pagination
193-200Déclaration de conflit d'intérêts
Conflict of Interest: The authors have no financial conflicts of interest.
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