Falgout Lacey, Kailas Shilpa, Sridhar Supraja, Loganantharaj Nisha
Department of Gastroenterology, Louisiana State University Health Sciences Center, New Orleans, LA.
ACG Case Rep J. 2023 Sep 23;10(9):e01148. doi: 10.14309/crj.0000000000001148. eCollection 2023 Sep.
Intestinal spirochetosis (IS) is a rare gastrointestinal infection with vague presenting symptoms. Diagnosis is confirmed histopathologically. Risk factors include homosexuality and HIV. Antibiotic treatment with metronidazole usually leads to resolution of symptoms. We present the case of a 56-year-old HIV-positive man with chronic, watery diarrhea who was diagnosed with IS. This case highlights the importance of considering IS in the differential in HIV-positive patients with nonspecific gastrointestinal symptoms after more common etiologies have been ruled out.
肠道螺旋体病（IS）是一种罕见的胃肠道感染，症状不明确。通过组织病理学确诊。危险因素包括同性恋和感染人类免疫缺陷病毒（HIV）。甲硝唑抗生素治疗通常可使症状缓解。我们报告一例56岁HIV阳性男性病例，该患者患有慢性水样腹泻，被诊断为肠道螺旋体病。该病例强调了在排除更常见病因后，对于有非特异性胃肠道症状的HIV阳性患者，在鉴别诊断中考虑肠道螺旋体病的重要性。
