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Unusual Behavior of intestinal spirochetosis: A Case Report

Infectious Diseases & Immunity 2023年第3期3卷 142-143页

作者： Carlo Petruzzellis Federico Catino Gastroenterology Unit ARNAS Garibaldi HospitalCataniaItaly Gastroenterology and Endoscopy Department Fondazione Poliambulanza HospitalBresciaItaly

Human intestinal spirochetosis is a rare clinicopathological condition characterized by the presence of spirochetal microorganisms on the surface of the colorectal mucosa and,in some cases,by their invasion into the lamina *** most frequent cause of this infection is immunocompromised *** case report describes a patient with relevant symptoms and endoscopic alterations,but limited invasion by spirochetes,as shown by histological analysis of ileal and colonic *** histological examination,metronidazole was *** resulted in rapid and complete resolution of the symptoms,which demonstrated an infectious *** peculiarity of our case is that the clinical and endoscopic appearances were typical of the aggressive behavior of the disease,but histological samples showed only superficial colonization of the colonic epithelium without clear invasion of deeper *** case report emphasizes that the virulence of spirochetes is not strictly related to intestinal mucosal invasion.

关键词： Case reports intestinal spirochetosis Colitis Histological sample

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Incidental diagnosis of intestinal spirochetosis in a patient with chronic hepatitis B:A case report

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World Journal of Clinical Infectious Diseases 2022年第2期12卷 69-75页

作者： Samantha Novotny Joseph Mizrahi Eric U Yee Michael J Clores Renaissance School of Medicine Stony Brook UniversityStony BrookNY 11794United States Division of Gastroenterology and Hepatology Stony Brook MedicineStony BrookNY 11794United States Department of Pathology Stony Brook MedicineStony BrookNY 11794United States

BACKGROUND intestinal spirochetosis(IS)is caused by Brachyspira colonization of the gastrointestinal *** patients are asymptomatic,while others present with gastrointestinal complaints such as abdominal pain,diarrhea,or gastrointestinal ***,the clinical significance of asymptomatic IS is unclear,and guidelines are lacking regarding decision to *** SUMMARY A 73-year-old male with peptic ulcer disease and gastroesophageal reflux was evaluated for elevated liver *** was diagnosed with chronic hepatitis B virus and prescribed ***,he was leukopenic and had stage 4 liver fibrosis on transient *** 5 mo,the patient returned for esophagogastroduodenoscopy and screening *** denied any gastrointestinal symptoms at that *** included grade I distal esophageal varices,mild portal hypertensive gastropathy,and patchy nodular gastric antral *** colonoscopy,several polyps were *** and eosin stain of mucosa adjacent to the polyps revealed a“false brush border,”and Steiner stain identified spirochetes adherent to the *** pathology findings confirmed the diagnosis of *** was managed conservatively with careful observation and without antibiotic therapy via a multidisciplinary approach between gastroenterology and infectious *** remained asymptomatic at the 7-wk *** This case reports the finding of incidental,asymptomatic IS in a leukopenic patient with hepatitis B virus. Conservative management was appropriate.

关键词： intestinal spirochetosis Hepatitis B Colonoscopy Histology Leukopenia Case report

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