Severe Colitis with Portal Venous Gas Caused by Brachyspira pilosicoli Infection.
Abdominal Pain
/ microbiology
Aged
Animals
Anti-Bacterial Agents
/ therapeutic use
Brachyspira
/ isolation & purification
Colitis
/ diagnosis
Diarrhea
/ microbiology
Dog Diseases
/ microbiology
Dogs
Feces
/ microbiology
Gases
Gram-Negative Bacterial Infections
/ diagnosis
Humans
Male
Metronidazole
/ therapeutic use
Polymerase Chain Reaction
Portal Vein
/ diagnostic imaging
Brachyspira pilosicoli
intestinal spirochetosis
portal venous gas
severe enterocolitis
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
3
12
2019
pubmed:
4
12
2019
medline:
28
2
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31787630
doi: 10.2169/internalmedicine.3254-19
pmc: PMC6928490
doi:
Substances chimiques
Anti-Bacterial Agents
0
Gases
0
Metronidazole
140QMO216E
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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