Intestinal spirochetosis due to Brachyspira pilosicoli: endoscopic and radiographic features

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作者
Junji Umeno
Takayuki Matsumoto
Shotaro Nakamura
Sohei Yoshino
Minako Hirahashi
Takashi Yao
Mitsuo Iida
机构
[1] Kyushu University,Department of Medicine and Clinical Science, Graduate School of Medical Sciences
[2] Kyushu University,Department of Anatomic Pathology, Graduate School of Medical Sciences
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spirochetosis; colonoscopy; barium enema;
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摘要
We report a 31-year-old patient with intestinal spirochetosis. Colonoscopy revealed edematous mucosa with multiple erythematous spots in the proximal colon. Barium enema examination demonstrated marked edema with luminal narrowing and thumb-printing predominantly in the ascending colon. Numerous spirochetes were detected by histological examinations of biopsy specimens. Polymerase chain reaction (PCR) amplification of the bacterial 16S ribosomal RNA showed the organisms to be Brachyspira pilosicoli.
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