Brachyspira (Serpulina) pilosicoli spirochetemia in an immunocompromised patient.
The case of an elderly immunocompromised man with non-Hodgkin's lymphoma who presented with fever, abdominal pain and bloody diarrhea is described. Brachyspira pilosicoli was isolated from culture. The patient was treated with penicillin G i.v. and became afebrile. B. pilosicoli is a recently recognized enteric pathogen of humans and animals. Intestinal spirochetosis should be included in the differential diagnosis of any immunocompromised or critically ill patient with dysentery.
Sotiria Hospital for Chest Diseases, Athens, Greece.
S
S
Kanavaki
E
E
Mantadakis
N
N
Thomakos
A
A
Pefanis
P
P
Matsiota-Bernard
S
S
Karabela
G
G
Samonis
D000368:Aged; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy; D017400:Brachyspira / Q000302:isolation & purification*; D004405:Dysentery, Bacillary / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D005500:Follow-Up Studies; D016330:Frail Elderly; D006801:Humans; D016867:Immunocompromised Host; D007262:Infusions, Intravenous; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis / Q000276:immunology; D008297:Male; D010400:Penicillin G / Q000008:administration & dosage*; D018570:Risk Assessment; D013145:Spirochaetales Infections / Q000175:diagnosis* / Q000188:drug therapy*; D016896:Treatment Outcome
D010400:Penicillin G