Escherichia coli 028ac: H-Associated Colitis with Thumbprinting Sign in the Ascending Colon, Report of a Case Nobuo Kojima 1 1Division of Gastroenterology, Hakujyuji Hospital Keyword: 感染性腸炎 , 病原大腸菌 , 母指圧痕像 , 上行結腸 pp.99-104
Published Date 1995/1/25
DOI https://doi.org/10.11477/mf.1403105298
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 A 20-year-old man was admitted to our hospital because of fever, abdominal pain, melena, and vomiting. Laboratory data indicated acute inflammation. On the radiography using barium enema, thumbprinting sign was seen in the ascending colon and cecum. Colonoscopic examination revealed edema and small ulcers. Abdominal echography showed thickening of the bowel wall and swelling of lymph nodes around the cecum. A stool culture was positive for Escherichia coli O28ac: H-(EIEC). Subjective symptoms and laboratory data showed improvement without antibiotics. Follow-up barium enema and abdominal echography showed a return to normal. The clinical, radiographic and endoscopic findings simulated those found in ischemic colitis. Abdominal echography and stool cultures were considered to be essential for differential diagnosis of this disease.

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