Pig-Bel: Enteritis Necroticans

Murrell, T. G. C.; Roth, L; Egerton, J. R.; Samels, Janet; Walker, P. D.

doi:10.1016/s0140-6736(66)90048-1

Cited by 119 publications

(23 citation statements)

References 23 publications

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“…12,13 Necrotizing enteritis was the second most common cause of peritonitis (12%), whereas this was not recorded in Dorairajan's study, or in SK Bhansali's study, even though all age groups are included in these. 2,14 No definite aetiology has been detected as the cause of necrotizing enteritis, even though the suspected aetiologic agent is B toxin of Clostridium welchi, type C. [15][16][17][18][19] Acute cholecystitis with perforation was the third most common cause (10.2%). In Dorairajan's study, gall bladder perforation was the cause of peritonitis in 1.2% only, and it was not seen in Bhansali's study.…”

Section: Discussionmentioning

confidence: 99%

Peritonitis in patients over the age of 50 years: 98 cases managed surgically

et al. 2005

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Generalized peritonitis in patients over the age of 50 years is a common surgical emergency. This is a retrospective analysis of 98 cases managed surgically. Duodenal ulcer perforations, necrotizing enteritis, acute cholecystitis with perforation and small bowel perforations were the common causes. Most of them presented late, and many had associated conditions. Re-look laparotomies had a definite role to play. While there is significant decrease in the number of typhoid and tubercular peritonitis, there appears to be an increase in the incidence of necrotizing enteritis and acute cholecystitis.

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Section: Discussionmentioning

confidence: 99%

Peritonitis in patients over the age of 50 years: 98 cases managed surgically

et al. 2005

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“…Clostridium perfringens (formerly known as C. welchii ) causes a segmental necrotizing enteritis, also known as enteritis necroticans or pig‐bel . This disease is most common in New Guinea and in Southeast Asia.…”

Section: Infections That Mimic Ischemiamentioning

confidence: 99%

“…perfringens (formerly known as C. welchii) causes a segmental necrotizing enteritis, also known as enteri-tis necroticans or pig-bel. 49,50 This disease is most common in New Guinea and in Southeast Asia. C. perfringens also causes a diarrhoeal illness that is often associated with antibiotic use and hospitalization in elderly patients, and unrelated to food poisoning.…”

Section: L O S T R I D I U M P E R F R I N G E N Smentioning

confidence: 99%

Update on infectious enterocolitides and the diseases that they mimic

Lamps

2015

Histopathology

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The anatomic pathologist's ability to diagnose infections, including gastrointestinal infections, in tissue sections has improved greatly in recent years. With the increasing number and availability of new molecular assays and immunostains, pathologists' understanding of the correlation between histologic patterns of inflammation and specific organisms or groups of organisms has expanded, as well as our understanding of how closely infections can mimic other frequently encountered diseases in gastrointestinal pathology (such as chronic idiopathic inflammatory bowel disease and ischemia). Anatomic pathologists continue to play a critical role in the diagnosis of gastrointestinal infections, as the examination of slides may provide a much more rapid result than microbiological cultures or other laboratory assays, and often cultures are not obtained before the patient is treated with antibiotics. Because many gastrointestinal infections are acquired through contaminated water and food, this review will focus primarily on food and water-borne infectious enterocolitides.

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“…There is some evidence that this can happen. Outbreaks of clostridial infection in north Germany (Zeissler and Rassfeld-Sternberg, 1949) and in New Guinea (Murrell et al, 1966) suggested that a bacterium equipped with a sufficiently powerful vasoconstrictor exotoxin can in fact bring about necrosis of the intestinal wall in a healthy young subject. However, the discovery of such organisms in a necrotic gut in an elderly person with arterial disease perhaps does not have the same significance.…”

Section: Physiologymentioning

confidence: 99%

Responses of the splanchnic circulation to ischaemia.

Marston¹

1977

Journal of Clinical Pathology

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Pig-Bel: Enteritis Necroticans

Cited by 119 publications

References 23 publications

Peritonitis in patients over the age of 50 years: 98 cases managed surgically

Peritonitis in patients over the age of 50 years: 98 cases managed surgically

Update on infectious enterocolitides and the diseases that they mimic

Responses of the splanchnic circulation to ischaemia.

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