Infectious Enterocolitis Shigekazu Hayashi 1 1Department of Gastroenterology, Nagoya Ekisaikai Hospital Keyword: カンピロバクター腸炎 , 腸炎ビブリオ腸炎 , サルモネラ腸炎 , 腸管出血性大腸菌(O157:H7)腸炎 , 赤痢(細菌性・アメーバ) pp.631-637
Published Date 2005/4/25
DOI https://doi.org/10.11477/mf.1403100082
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We take medical histories and make microbiological examination when we suspect infectious enterocolitis in patients with complaints of diarrhea and hematochezia.

 As urgent colonoscopy is performed in the examination, it is important to know the colonoscopic findings of infectious enterocolitis. Characteristic findings are ; 1 )Ulcer on Bauhin's valve in Campylobacter enterocolitis ; 2 )Swelling on Bauhin's valve and erosion in the terminal ileum in Vibrio parahaemolyticus enterocolitis ; 3 )Longitudinal or diffuse ulcer seen to a high degree on the right side colon in Enterohemorrhagic Escherichia coli(O157 : H7)enterocolitis. Longitudinal ulcer on the left side colon and scattered erosion or aphthoid erosion are seen in various kinds of infectious enterocolitis. Awareness of these characteristics are necessary to differentiate infectious enterocolitis from ischemic colitis and other types of enterocolitis. In amoebic colitis characteristic findings of takoibo erosion and detection of Entamoeba histolytica from biopsy specimens are useful for diagnosis.

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