Post-Colonoscopic Listeria Septicemia in Ulcerative Colitis during Immunosuppressive Therapy
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概要
- 論文の詳細を見る
A 78-year-old man who had been diagnosed with ulcerative colitis was admitted because of uncontrolled severe, frequent, bloody diarrhea. He was treated with immunosuppressive therapy that included corticosteroid and azathioprine. Colonoscopy was used to assess disease activity. This revealed that the mucosa of his digestive tract from the rectum to the ileum was damaged. He developed a high-grade fever soon after colonoscopy. Blood culture demonstrated Listeria monocytogenes. Treatment was changed to intravenous ampicillin for 20 days. His general body symptoms, including the bloody diarrhea, improved after treatment. We assume that the colonoscopy induced Listeria monocytogenes septicemia through bacterial translocation in this patient.
- 社団法人 日本内科学会の論文
著者
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Maeda Osamu
Department Of Chemical Pharmacology Toho University School Of Pharmaceutical Sciences
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Ando Takafumi
Department Of Circulation Research Institute Of Environmental Medicine Nagoya University
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Hasegawa Tadao
Department Of Agricultural Chemistry Faculty Of Agriculture Tokyo University Of Agriculture
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MINAMI Masaaki
Department of Civil Engineering
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Ohkura Teruko
Department Of Bacteriology Nagoya University Graduate School Of Medicine
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Ohta Michio
Department Of Bacteriology Graduate School Of Medicine Nagoya University
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Ohta Michio
Department of Bacteriology, Nagoya University Graduate School of Medicine
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GOTO Hidemi
Department of Endoscopy, Nagoya University Hospital
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MINAMI Masaaki
Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences
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