蛋白漏出性胃腸症に随伴したCampylobacter感染症の1例

概要

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A 20 years old woman with campylobacteriosis associated with protein-losing gastroenteropathy was reported. She had had edema in legs, anorexia and watery diarrhea since July 1975. She was admitted to the hospital of Miyazaki Medical College on March 19, 1978. The laboratory examinations showed that she had marked hypoproteinemia (2.8 g/dl), hypogammaglobulinemia (IgG, 284 mg/dl; IgA, 40 mg/dl), lymphocytopenia (6%) with normal white cell counts (5, 200/mm3) and negative delayed type skin reaction with PPD and PHA. She was diagnosed as protein-losing gastroenteropathy due to primary intestinal lymphangioectasia from the roentogenologic and angiographic findings of gastro-intestinal tract, being compatible with results of 131I-Triolein and 131I-PVP tests. The patient was maintained on diet rich in protein and medium chain triglyceride (MCT) but refractory to the other various treatments. On the 153 date of admission she had high temperature and Campylobacter (probably C. coli) on blood culture, which is known very rare in Japan, was detected according to the classification of Veron and Chatelain (1973). Further, Escherichiacoli and Aeromonas hydrophila were isolated from this patient on the date of 273 and 289, respectively.
日本感染症学会の論文