| Theme | Differential diagnosis for common enterocolitis, especially in endoscopic findings | |
|---|---|---|
| Title | Hemorrhagic colitis associated with Shiga toxinproducing Escherichia coli | |
| Publish Date | 2014/07 | |
| Author | Takashi Shigeno | Department of Gastroenterology, Shinshu Ueda Medical Center |
| Author | Taiji Akamatsu | Department of Endoscopy, Nagano Prefectural Suzaka Hospital |
| Author | Kazuya Fujimori | Department of Gastroenterology, Shinshu Ueda Medical Center |
| Author | Masafumi Maruyama | Department of Gastroenterology, Shinshu Ueda Medical Center |
| Author | Akihiro Ito | Department of Gastroenterology, Shinshu Ueda Medical Center |
| Author | Kaname Yoshizawa | Department of Gastroenterology, Shinshu Ueda Medical Center |
| [ Summary ] | Clinical features of hemorrhagic colitis associated with O157 Shiga toxin-producing Escherichia coli (STEC) and non-O157 STEC are reviewed. Hemorrhagic colitis associated with O157 STEC presents characteristic colonoscopic fi ndings associated with the inflammatory gradient and longitudinal ulcers. On the other hand, little is known about the colonoscopic findings accompanying with hemorrhagic colitis associated with non-O157 SETC. One case of hemorrhagic colitis associated with non-O157 STEC (O55) is presented. The colonoscopic findings resembled those of ischemic colitis. Additionally, the German O104 STEC outbreak in 2011 is outlined from medical literature. | |