TWO CASES OF CAMPYLOBACTER ENTEROCOLITIS WITH EXTENSIVE ULCERS ON A SWOLLEN PEYERʼS PATCH IN THE TERMINAL ILEUM

Abstract

An 18-year-old man (Case 1) came to our hospital for diarrhea and right lower abdominal pain. A 21-year-old woman (Case 2) came to our hospital for diarrhea and high fever. In both cases, their endoscopic examination revealed extensive shallow ulcers on a swollen Peyerʼs patch in the terminal ileum, and intramucosal hemorrhage and edema were observed in the entire colon. Their colonic endoscopic findings had characteristics of Campylobacter colitis. Campylobacter jejuni organisms were detected in cultures of intestinal fluids in both cases. In the literature, there was only one case report of Campylobacter enterocolitis with extensive ulceration in the ileum. We report two very rare cases.