Intestinal spirochetosis due to Brachyspira pilosicoli: endoscopic and radiographic features.
We report a 31-year-old patient with intestinal spirochetosis. Colonoscopy revealed edematous mucosa with multiple erythematous spots in the proximal colon. Barium enema examination demonstrated marked edema with luminal narrowing and thumb-printing predominantly in the ascending colon. Numerous spirochetes were detected by histological examinations of biopsy specimens. Polymerase chain reaction (PCR) amplification of the bacterial 16S ribosomal RNA showed the organisms to be Brachyspira pilosicoli.
Umeno
Junji
J
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Matsumoto
Takayuki
T
Nakamura
Shotaro
S
Yoshino
Sohei
S
Hirahashi
Minako
M
Yao
Takashi
T
Iida
Mitsuo
M
D000328:Adult; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003106:Colon / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007413:Intestinal Mucosa / Q000382:microbiology / Q000473:pathology; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D016133:Polymerase Chain Reaction; D013145:Spirochaetales Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
D000981:Antiprotozoal Agents; D008795:Metronidazole