Campylobacter enterocolitis: radiographic features

Brodey, PA; Fertig, Susan; Aron, JM

doi:10.2214/ajr.139.6.1199

Cited by 21 publications

(7 citation statements)

References 2 publications

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“…In these cases, in which severe diarrhea is often present, it is perhaps better to speak of infectious ileocolitis, because both the ileum and the major part of the colon is involved. Barium studies in Campylobacter ileocolitis have demonstrated small mucosal ulcers in the colon [39,41]. As mentioned previously these cases of infectious ileocolitis do not provide substantial problems in the differentiation from appendicitis, because severe diarrhea is the predominant symptom.…”

Section: Radiological Findingsmentioning

confidence: 78%

Infectious ileocecitis caused by Yersinia, Campylobacter, and Salmonella: clinical, radiological and US findings

1997

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Infectious ileocecitits caused by yersinia, campylobacter, and salmonella -clinical, radiological and us findings Puylaert, J.B.C.M.; van der Zant, F.M.; Mutsaers, J.A.E.M. Published in: European Radiology DOI:10.1007/s003300050098Link to publication Citation for published version (APA): Puylaert, J. B. C. M., van der Zant, F. M., & Mutsaers, J. A. E. M. (1997). Infectious ileocecitits caused by yersinia, campylobacter, and salmonella -clinical, radiological and us findings. European Radiology, 7(1), 3-9. https://doi.org/10.1007/s003300050098 General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: https://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Download date: 20 Jun 2019 IntroductionIt is well known that the bacteria Yersinia enterocolitica, Campylobacter jejuni, and Salmonella enteritidis are important causes of diarrhea in humans. It is less known that the same microorganisms may also cause an appendicitis-mimicking syndrome, in which case the infection is confined to the ileocecal area [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. In these patients right lower abdominal pain is the predominant symptom, whereas diarrhea is absent or only mild. Due to this symptomatology, this otherwise innocuous and self-limiting bowel infection may lead to an unnecessary laparotomy for suspected appendicitis.The use of US with graded compression has greatly enhanced the diagnostic accuracy in patients with acute right lower abdominal pain [21][22][23][24]. In patients with the above-described appendicitis-mimicking syndrome due to Yersinia, Campylobacter, or Salmonella, a fairly characteristic US pattern can be demonstrated. This enables a rapid diagnosis and therewith exclusion of appendicitis [25][26][27][28][29][30][31]. In view of the constant clinical and morphological features and its common bacterial origin, the condition has been named bacterial ileocecitis (Table 1) [19]. Because analogous clinical, sonographic, and barium findings have also been described in viral, fungal, protozoan, and helminthic infections of the ileocecal area, the term infectious ileocecitis may be more appropriate [32][33][34][35][36].This article reflects a 9-year experience with infectious ileocecitis caused by Yersinia, Campylobacter, and Salmonella and describes its clinical, microbiological, epidemiological, radiolog...

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Section: Radiological Findingsmentioning

confidence: 78%

Infectious ileocecitis caused by Yersinia, Campylobacter, and Salmonella: clinical, radiological and US findings

1997

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“…Complications such as acute arthritis, pneumonia, acute abdomen, cholecystitis, and massive lower gastrointestinal bleeding have been reported [3,6,11,14]. Our 7 patients had no such complications.…”

Section: Discussionmentioning

confidence: 53%

“…The reported roentgenologic findings are pancolitis, segmental colitis with granular or edematous mucosa, and aphthoid ulcers [1,2,[4][5][6]12]. From our 7 patients with Campylobacter infection in whom a barium enema was performed, including a single-contrast study in a 1-month-old baby and the delayed examination in another patient (9 days after the stool culture), changes in the rectosigmoid were present in 4 patients.…”

Section: Discussionmentioning

confidence: 93%

“…The full roentgenologic spectrum of Campylobacter colitis is not yet described [6]. The reported roentgenologic findings are pancolitis, segmental colitis with granular or edematous mucosa, and aphthoid ulcers [1,2,[4][5][6]12].…”

Section: Discussionmentioning

confidence: 99%

“…Although the clinical picture of Campylobacter infection has been recognized for some time and some radiologic changes have been reported [1][2][3][4][5][6], the complete spectrum of possible radiologic changes of this infectious disease has not yet been described [6].…”

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confidence: 99%

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Roentgenologic changes of the colon inCampylobacter infection

Tielbeek

Rosenbusch

Muytjens

et al. 1985

Gastrointest Radiol

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A double-contrast examination of the colon was performed during diarrheal illness in 5 patients with Campylobacter infection. The findings in these 5 patients were aphthoid ulcers and stippled appearance. In 1 patient with stool culture positive for Campylobacter, double-contrast study of the colon 9 days later showed no abnormalities. In a 12-year-old boy lymphoid hyperplasia could be observed as well as the aphthoid ulcers. All the abnormalities were segmental, more often localized in the rectosigmoid. No changes were found in the ascending colon. Histopathologic studies of the biopsy specimens taken endoscopically in 3 patients showed a nonspecific inflammatory reaction.

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