抄録
A 42-year-old woman was consulted to our hospital due to abdominal pain, diarrhea, and hematochezia. Laboratory tests showed leukocytosis, elevated CRP level, and Escheria coli (serum type O-166) was detected. First we diagnosed infectious colitis, so prescribed antibiotics. But her symptoms still continued. Colonoscopy and barium enema study revealed the total colitis type of ulcerative colitis, and it was comfirmed pathologically. We continued medical therapy with total parenteral nutrition, salazosulfapyridine, and prednisolone. After these treatment the patient condition improved. Follow up study by colonoscopy showed that the erosion, and pseudopolyposis remained, but inflammatory findings were improved markedly.
The special type of Escheria coli caused infectious enterocolitis including diarrhea and gastroenteritis.
It is concluded that emergent colonoscopy and stool culture are important for the diagnosis and treatment of ulceraive colitis.
