Salmonella腸炎における大腸内視鏡像の検討

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  • ENDOSCOPIC STUDY OF SALMONELLA ENTEROCOLITIS

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Of 71 patients from whom Salmonella have been detected in stool culture in this hospital during these 6 years, 16 patients who were performed colonoscopy were studied mainly for endoscopic pictures. These 16 patients (12 males and 4 females) aged 25 to 66 years, averaging 49.3, and complained of diarrhea (16 cases), bloody stool (4 cases), abdominal pain (13 cases), fever (9 cases) and vomiting (5 cases). Of these 16 cases, 11 showed changes such as redness, bleeding, erosion and so on. Diffuse lesion, longitudinal lesion, and aphthoid lesions were noted in 3 cases, 3 cases and 2 cases, respectively. Lesions were observed in the whole colonic region in 2 cases, from sigmoid colon to deep colon in 2 cases, from ascending colon to terminal ileum in 2 cases, in sigmoid colon in 4 cases and in transverse colon in one case, respectively. Histological findings in 7 cases revealed high degree of inflammations in 2 cases, moderate in 3 cases, mild in 2 cases. Salmonella colitis, which shows various diversified endoscopic pictures, is often undif f erentiable from ulcera-tive colitis and other infectious colitis, and sometimes from drug associated colitis as well as ischemic colitis. Therefore, stool culture is essential inevitable for the diagnosis of Salmonella enterocolitis.

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