Deutsch S F, Wedzina W
Department of Gastroenterology, West Suburban Hospital Medical Center, Oak Park, Illinois 60302, USA.
Am J Gastroenterol. 1997 Nov;92(11):2104-6.
Aeromonas species, once thought pathogenic only in immunocompromised hosts, have more recently been found to be associated with many different infections in previously healthy individuals. The most common site of these infections is the gastrointestinal tract. We describe a 67-yr-old woman who presented with abdominal pain and bloody diarrhea and was diagnosed with left-sided, segmental colitis due to Aeromonas sobria, which was proven by stool culture. Extensive work-up for ischemic colitis was unremarkable, and after treatment with antibiotics, the patient's symptoms resolved, and follow-up colonoscopy failed to reveal any evidence of residual colitis or inflammatory bowel disease. Our report supports the view that Aeromonas species need to be considered in the differential diagnosis of colitis, and we believe it to be the first report of left-sided, segmental colitis secondary to Aeromonas sobria infection.
气单胞菌属细菌曾被认为仅在免疫功能低下的宿主中具有致病性，最近却发现它们与许多既往健康个体的不同感染有关。这些感染最常见的部位是胃肠道。我们描述了一名67岁女性，她因腹痛和血性腹泻就诊，经粪便培养证实诊断为嗜水气单胞菌引起的左侧节段性结肠炎。针对缺血性结肠炎的全面检查无异常发现，使用抗生素治疗后，患者症状缓解，随访结肠镜检查未发现残留结肠炎或炎症性肠病的任何证据。我们的报告支持在结肠炎的鉴别诊断中需要考虑气单胞菌属细菌的观点，并且我们认为这是首例关于嗜水气单胞菌感染继发左侧节段性结肠炎的报告。
