S1915 A Sporadic Case of Shiga Toxin-Producing Enterohemorrhagic Escherichia Coli O111 Infection Manifesting as Ischemic Colitis

Caldis, Matthew; Austin, Kerstin; Slukvin, Igor I.

doi:10.14309/01.ajg.0000781192.49396.ab

Cited by 2 publications

(4 citation statements)

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“…There are few published case reports on ischemic colitis due to Shiga-like toxinproducing E. coli in adults (Table 2) [7,[13][14][15][16][17][18][19]. Among these reports, the most commonly found clinical features were abdominal pain and bloody diarrhea, with or without fever.…”

Section: Discussionmentioning

confidence: 99%

“…Laboratory findings revealed unspecific changes such as mild to intense leukocytosis or slight inflammation. Microbiological assessments provided STEC-positive stool cultures in four out of eight cases [7,14,17,18], and a CT scan was performed in six of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…Seven out of eight cases had a colonoscopy performed (Table 3) with tissue biopsy, with the remaining case exhibiting macro-/micro-histological findings due to exploratory laparotomy [16]. In a single patient, the ileum mucosa was exclusively affected [14], and another case had extremely severe necrosis up to the transverse colon, making further examination impossible, similar to our case [13]. In the remainder of the cases, the intestinal mucosa damage was arbitrarily scattered all along the colon, sparing the rectum in three patients, possibly affecting the right side to a greater degree.…”

Section: Discussionmentioning

confidence: 99%

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A Successful Approach to Diagnosing Shiga-like Toxin-Producing Escherichia coli-Induced Colitis

Melinte,

Radu,

Văcăroiu

et al. 2024

Diagnostics

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Shiga-like toxin-producing Escherichia coli (STEC) is a well-known cause of foodborne acute diarrheic diseases, especially in children and the elderly. The potentially fatal complications associated with toxin production range from bloody diarrhea and ischemic colitis to kidney failure, hemolytic–uremic syndrome (HUS), and colon perforation. Here, we describe a case and literature review of STEC-induced colitis, highlighting the clinical features and the necessary tools for the best diagnostic approach and management. Facing challenging differential diagnosis, ranging from ischemic colitis and inflammatory bowel disease to infectious processes due to a pathogenic or opportunistic agent, we conducted a step-by-step exploration. Following bacteriological investigation, imagistic screening, and colonoscopy, we ruled out some of the initial suppositions and reached a final diagnosis, while also considering the pathological results. Although antibiotics are not indicated in this pathology, our patient did receive antibiotics, given the risk of translocation and colon perforation, without any associated complications such as HUS or peritonitis. Detailed and rigorous investigations conducted by a multi-specialty team are required for prompt medical support. Coping with the symptoms and refraining from further complications are the mainstem aims of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Successful Approach to Diagnosing Shiga-like Toxin-Producing Escherichia coli-Induced Colitis

Melinte,

Radu,

Văcăroiu

et al. 2024

Diagnostics

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“…Campylobacter is a common foodborne pathogen, similar to Escherichia coli (E. coli), Salmonella, Yersinia, Shigella, and enteric viruses. Complications of bowel ischemia or perforation are more common from enterohaemorrhagic E. coli [ 8 , 9 ] and Salmonella typhi [ 10 ]. Previously reported gastrointestinal complications of Campylobacter enterocolitis include toxic megacolon [ 6 ], sepsis, and bowel obstruction [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Bowel Ischemia Secondary to Campylobacter Enterocolitis: A Case Series and Review of the Literature

Teh¹,

Lee²,

Tee³

et al. 2023

Cureus

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Campylobacter is the most common cause of diarrheal illness worldwide and is generally self-limiting. We present two cases of Campylobacter enterocolitis complicated by bowel ischemia in a 79-year-old male and a 53-year-old male, both presenting with abdominal pain and diarrhea and elevated lactate and C-reactive protein (CRP) levels. CT demonstrated common findings of pneumatosis intestinalis (PI) and portal venous gas. Exploratory laparotomy performed on the former demonstrated extensive small bowel infarction that was noncompatible with life and he was palliated postoperatively. The latter improved clinically after resection of the ischemic section of the small bowel with primary stapled anastomosis and closure. Clinicians need to be aware of the potentially fatal complications of Campylobacter-associated enterocolitis and should maintain a high clinical index of suspicion so that early surgical intervention can be considered in this patient population.

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S1915 A Sporadic Case of Shiga Toxin-Producing Enterohemorrhagic Escherichia Coli O111 Infection Manifesting as Ischemic Colitis

Cited by 2 publications

References 0 publications

A Successful Approach to Diagnosing Shiga-like Toxin-Producing Escherichia coli-Induced Colitis

A Successful Approach to Diagnosing Shiga-like Toxin-Producing Escherichia coli-Induced Colitis

Bowel Ischemia Secondary to Campylobacter Enterocolitis: A Case Series and Review of the Literature

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