Salmonella Enterocolitis : Clinical, Radiographic and Endoscopic Features Shotaro Nakamura 1 , Takayuki Matsumoto 2 , Shigeo Nakamura 1 1Department of Medicine, and Clinical Science, Graduate School of Medical Sciences, Kyushu University Keyword: サルモネラ , 感染性腸炎 , X線診断 , 内視鏡像 pp.352-358
Published Date 2002/2/26
DOI https://doi.org/10.11477/mf.1403103457
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 The clinical, radiographic and endoscopic features of Salmonella enterocolitis were reviewed. The nomenclature for the bacterium is complex, and it has not yet been standardized. Nontyphoid Salmonella organisms are the major cause of bacterial gastroenteritis, and the incidence of egg-borne outbreaks of Salmonella enterica serotype Enteritidis infections has been increasing. In patients with Salmonella enterocolitis, each segment of the colons is equally involved, while the rectum is rarely affected. The radiographic findings are characterized by fine mucosal granularity, loss of haustration, and erosions or small ulcerations, which mimic ulcerative colitis, with rectal sparing. Endoscopically, various findings including edema, hyperemia, erosions, mucosal friability, bleeding or ulcerations are observed. Patients with salmonellosis are often treated by antimicrobiological agents such as fluoroquinolones. Recently, the outbreak of multidrug-resistant Salmonella enterica serotype Typhimurium has been confirmed.

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