Chatani Motoharu, Kishita Megumi, Inatomi Osamu, Takahashi Kenichiro, Sugimoto Mitsushige, Sonoda Ayano, Kawahara Masahiro, Bamba Shigeki, Kito Katsuyuki, Kushima Ryoji, Andoh Akira
Department of Medicine, Shiga University of Medical Science, Japan.
Division of Clinical Laboratory Medicine, Shiga University of Medical Science, Japan.
Intern Med. 2019;58(23):3409-3413. doi: 10.2169/internalmedicine.3254-19. Epub 2019 Dec 1.
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.
我们在此报告一例由柔毛短螺旋体引起的伴有门静脉积气的严重结肠炎病例。一名75岁男性因发热、严重腹痛和血性腹泻入院。他的抗HIV抗体检测为阴性。他此前曾与一只狗密切接触。腹部计算机断层扫描显示整个结肠严重壁增厚和脂肪浸润，并伴有门静脉积气。他的粪便涂片检查显示有许多革兰氏阴性螺旋杆菌，提示肠道螺旋体病。使用粪便样本进行的聚合酶链反应检测到一条对柔毛短螺旋体特异的扩增条带。他对抗菌药物包括甲硝唑反应良好。
