Campylobacter Colitis, Report of Six Cases S. Hayashi 1 , M. Koike 1 , T. Nakamura 1 , S. Nakazawa 2 , S. Yoshii 3 1Department of Gastroenterology, Nagoya Ekisaikai Hospital 2The Second Department of Internal Medicine, Nagoya University, School of Medicine 3Department of Internal Medicine, National Chubu Hospital pp.407-411
Published Date 1983/4/25
DOI https://doi.org/10.11477/mf.1403109366
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 In recent years culture of Campylobacter jejuni from the stool has become very easy, and since the importance of enteritis due to this bacteria has been pointed out, attention had been focussed on this disease all over the world including Japan. As Campylobacter enteritis is often accompanied with bloody stool colonoscopy is frequently performed. This disease has also drawn great attention since it must be differentiated from other similar diseases.

 During one year and four months from May 1981 since the culture of C. jejuni was initiated at our hospital this bacteria was demonstrated in 53 patients. In this paper are reported six cases with lesions recognized by colonoscopy. Five out of six patients visited our hospital with a chief complaint of bloody diarrhea and urgent colonoscopy was performed. One patient had slight diarrhea one week before visiting us and endoscopy was done for the follow-up after polypectomy of the colon. Case 1 (Fig. 1) showed diffuse redness, erosions, bleeding and edema; Case 2 (Fig. 2) and 6 (Fig. 6) showed scattering, multiple or in parts diffuse changes. In Case 3 and 4 (Fig. 3 and 4) was seen an aphthoid lesion and in Case 5 (Fig. 5) were seen longitudinal reddening and erosions. In biopsy specimens was seen in all cases erosions and bleeding of the mucoca. In the lamina propria was seen inflammatory cell infiltration consisting chiefly of neutrocytes. Crypt abscess was recognized in four cases (Fig. 7). Endoscopic pictures of this diseases were variegated. In cases of diffuse changes it resembled those of ulcerative colitis, while changes in non-diffuse cases could be seen in other infectious colitis, drug-associated colitis and ischemic colitis. Final diagnosis mostly depended upon biological examination. Furthermore, pathophysiology of this disease remains still much unexplained, so that colonoscopic pictures of this disease in acute stage is considered important for elucidation its pathogenesis.

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