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01121 Journal of Nara Medical Association >
Vol.50 No.1 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/494
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タイトル: | 内視鏡的に急性期および治癒期を観察し得た腸管出血性大腸菌O157 : H7による出血性腸炎の1例 |
その他のタイトル: | A CASE OF HEMORRHAGIC COLITIS DUE TO ENTEROHEMORRHAGIC ESCHERICHIA COLI O157 OBSERVED ENDOSCOPICALLY AT THE ACUTE AND HEALED STAGE |
著者: | 池中, 康英 櫻井, 伸也 松下, 和広 佐藤, 由美子 諏訪, 好信 松本, 真 松本, 元嗣 栗山, 茂樹 岸田, 秀樹 東野, 正 玉川, 泰浩 岡本, 新悟 福井, 博![](/dspace/image/metalink/link_ja.gif) |
キーワード: | hemorrhagic colitis enterohemorrhagic Escherichia coli O157 endoscopy |
発行日: | 1999年2月28日 |
出版者: | 奈良医学会 |
引用: | Journal of Nara Medical Association Vol.50 No.1 p.50-54 |
抄録: | A 49-year-old woman was admitted to the hospital because of abdominal
pain and bloody diarhea. Emergent colonoscopy was performed due to continuous bloody
diarrhea on the following day after admission. Although edema, erosion, ulceration and
hemorrhage were observed from the sigmoid colon through the cecum, inflammatory
changes were more remarkable in the ascending colon with narrowing of the colon due to
severe edema. Apparent inflammatory changes were not seen in the terminal ileum.
Subsequently the stool culture was positive for Escherichia coli O157, resulting in the
diagnosis of hemorrhagic colitis due to Escherichia coli O157 infection. Biopsy specimens
revealed fibrin thrombosis in many vessels, closely similar to observations in ischemic
colitis. It is therefore indicated that differential diagnosis from ischemic colitis is impor-
tant. Her symptoms and inflammatory parameters improved with antibiotics without
causing hemolytic-uremic syndromes, and no inflammatory findings were observed by
colonoscopy performed on day 28 after the onset. |
URI: | http://hdl.handle.net/10564/494 |
ISSN: | 13450069 |
出現コレクション: | Vol.50 No.1
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