Intestinal spirochetosis and colon diverticulosis.
A case of intestinal spirochetosis in a 62-year-old white male is reported. The condition was characterized by chronic flatulence and episodes of intestinal hemorrhage, in addition to the evidence of hypotonic diverticular disease, with a large number of slender organisms in the colon epithelium and cryptae. Spirochetes were demonstrated by Whartin-Starry stain. The serologic tests for syphilis and HIV were positive. Spirochetosis was treated with penicillin G, and the patient remains free of intestinal complaints 20 months later.
Lima
Marcus Aurelho de
MA
Cancer Combat Association of Central Brazil, Uberaba, MG, Brazil. lima@mednet.com.br
Barbosa
André Luís
AL
Santos
Vitorino Modesto dos
VM
Misiara
Felipe Prata
FP
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D043963:Diverticulosis, Colonic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D015658:HIV Infections / Q000150:complications; D006801:Humans; D007413:Intestinal Mucosa / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D013144:Spirochaetales / Q000302:isolation & purification; D013145:Spirochaetales Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D010400:Penicillin G