Abstract
A 21 year-old man visited to our hospital on September 28, 1984, with complaints of pyrexia, lower abdominal pain and watery diarrhea for five days. He noticed m elena and was admitted on the next day in spite of the treatment with antidiarrheic agents. Colonscopy revealed edema, friability and multiple erosions on mucosa continuously from the rectum up to the junction of the sigmoid and the descending colon. Barium enema also showed diffuse granularity and spicula formation from the rectum to the transverse colon. As the morphological findings of colonoscopy and Barium enema were similar to those of ulcerative colitis, we couldn't decide the final diagnosis without bacteriological examination of the stool. Campylobacter jj was isolated from the patient's stool on the 4th hosptal day, and he was diagnosed of Campylobacter colitis. The patient's condition steadily improved by oral administration of Nalidixic acid and hewas discharged on August 18, 1984. According to the recent reports of infectious disease, Campylobacter fetus jj is isolated in the highest frequency from human infectious enterocolitis using Skirow's selective medium. Morphologically, campylobacter colitis is reported to show varied endoscopic findings which resemble to ulcerlative colitis or Crohn's disease. Then we must remember the presence of Campylobacter colitis when we find inflamatory lesions which are similar to ulcerative colitis or Crohn's disease. We wish to emphasize the need of bacterial culture in diagnosis of colonic disease.
