消化器内視鏡の進歩:Progress of Digestive Endoscopy
Online ISSN : 2189-0021
Print ISSN : 0389-9403
症例
腸管出血性大腸菌O-157による出血性大腸炎の2例
海野 潤田和 良行佐野 哲孝荒井 咲子奥山 尚林田 憲正田所 昌夫山形 紘
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ジャーナル フリー

1999 年 53 巻 p. 182-183

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Although it is difficult to make an established diagnosis of Enterohemorrhagic E coli : O-157 infection before stool culture yield it, we should suspect it at an early stage of hemorrhagic colitis to treat appropriately and prevent further infection.
According to our two cases, a colonoscopic examination showed inflamed erosive and somewhat dirty mucosa. Lower GI series revealed thumb printing sign with the right sided colon dominance. And abdominal CT showed markedly thickened colonic wall.
As already mentioned in the previous case reports, these findings are impressive enough to remind us a presumptive diagnosis of the hemorrhagic colitis induced by Enterohemorrhagic E coli : O-157.
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© 1999 一般社団法人 日本消化器内視鏡学会 関東支部
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