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.
Kanavaki
S
S
Sotiria Hospital for Chest Diseases, Athens, Greece.
Mantadakis
E
E
Thomakos
N
N
Pefanis
A
A
Matsiota-Bernard
P
P
Karabela
S
S
Samonis
G
G
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