Acute terminal ileitis associated with pneumococcal bacteremia: case report and review of pneumococcal gastrointestinal diseases.
In this report, we describe a patient with acute terminal ileitis due to Streptococcus pneumoniae, review 3 previously reported cases of isolated enteritis due to S. pneumoniae, and summarize the English-language literature on primary and secondary pneumococcal gastrointestinal diseases. Various theories have been advanced to explain the pathogenesis of this rare and potentially life-threatening form of pneumococcal infection, but the mechanism by which S. pneumoniae causes gastrointestinal disease is still unknown.
Petti
Cathy A
CA
Department of Clinical Microbiology, Duke University Medical Center, Durham, NC 27710, USA. petti007@mc.duke.edu
Ignatius Ou
S-H
SH
Sexton
Daniel J
DJ
D000208:Acute Disease; D000328:Adult; D016470:Bacteremia / Q000150:complications* / Q000382:microbiology; D003424:Crohn Disease / Q000150:complications* / Q000382:microbiology; D005260:Female; D005767:Gastrointestinal Diseases / Q000382:microbiology*; D006801:Humans; D011008:Pneumococcal Infections / Q000150:complications* / Q000382:microbiology; D013296:Streptococcus pneumoniae