A Rare Case of Infectious Colitis with Ulcers in the Cecum Caused by Mycobacterium Gordonae

Tsutomu Mizoshita; Satoshi Tanida; Takashi Mizushima; Yoshikazu Hirata; Kenji Murakami; Takaya Shimura; Yoshinori Mori; Hiromi Kataoka; Takeshi Kamiya; Takashi Joh

doi:10.2169/internalmedicine.50.6238

CASE REPORTS

A Rare Case of Infectious Colitis with Ulcers in the Cecum Caused by Mycobacterium Gordonae

Tsutomu Mizoshita, Satoshi Tanida, Takashi Mizushima, Yoshikazu Hirata, Kenji Murakami, Takaya Shimura, Yoshinori Mori, Hiromi Kataoka, Takeshi Kamiya, Takashi Joh

Author information

Tsutomu Mizoshita
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Satoshi Tanida
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Takashi Mizushima
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Yoshikazu Hirata
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Kenji Murakami
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Takaya Shimura
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Yoshinori Mori
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Hiromi Kataoka
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Takeshi Kamiya
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan
Takashi Joh
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Japan

Keywords: Mycobacterium gordonae, double balloon endoscopy, non-tuberculous mycobacteria

JOURNAL OPEN ACCESS

2011 Volume 50 Issue 21 Pages 2583-2586

DOI https://doi.org/10.2169/internalmedicine.50.6238

Details

Abstract

A 69-year-old female complained of persistent abdominal pain, and annular ulcers and ulcer scars were detected endoscopically in the cecum. Pathological findings included caseous granulomas with some Langhans giant cells, and Ziehl-Neelsen staining was negative. Mycobacterium gordonae (M. gordonae) was identified by the DNA-DNA hybridization method and culture (Ogawa medium) of biopsy samples from ulcerous cecal lesions. After 6 months of antibiotic therapy, ulcerous cecal lesions were healed, and no acid-fast bacteria were detected by culture of biopsy samples from scar tissue. We believe this is the first report of M. gordonae infection in the alimentary tract.

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