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Endoscopic diagnosis of campylobacter colitis



Endoscopic diagnosis of campylobacter colitis



Gastroenterological Endoscopy 29(1): 62-68



Ten patients of campylobacter colitis were examined endoscopically and histologically. Nine of them were male and the other was female. Mean age of them was 24.0. They complained of abdominal pain, fever, diarrhea and/or bloody discharge. Campylobacter fetus ss. jejuni was isolated from all of their stools by Skirrow's medium. Total colonoscopy was performed to the all patients but one (the second case). The mucosa from rectum to the right colon, was edematous and erythematous with scattered normal appearances. The characteristic feature was the ulcer on the ileocecal valve. This ulcer has never been reported in other acute colitis nor chronic colitis such as ulcerative colitis or Crohn's disease. Colonic biopsies were taken from all patients. The mucosa was edematous and infiltrated by acute and chronic inflammatory cells frequently with crypt abscess. Generally, depletion of goblet cells was minimal and crypt architecture was normal. Biopsies from the ulcer on the ileocecal vale, revealed nonspecific changes. It is not so difficult to diagnose colonoscopically as campylobacter colitis, seeing the characteristic ulcer on the ileocecal valve.

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Accession: 005359169

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