1/17. Reactive arthritis induced by clostridium difficile enteritis as a complication of helicobacter pylori eradication.clostridium difficile has recently been established as a cause of reactive arthritis (ReA). We present a case of clostridium difficile-induced ReA as a complication of helicobacter pylori eradication, which, to the best of our knowledge, is the first such case reported.- - - - - - - - - - ranking = 1keywords = enteritis (Clic here for more details about this article) |
2/17. Pseudomembranous enteritis after proctocolectomy: report of a case.Intestinal pseudomembrane formation, sometimes a manifestation of antibiotic-associated diarrheal illnesses, is typically limited to the colon but rarely may affect the small bowel. A 56-year-old female taking antibiotics, who had undergone proctocolectomy for idiopathic inflammatory bowel disease, presented with septic shock and hypotension. A partial small-bowel resection revealed extensive mucosal pseudomembranes, which were cultured positive for clostridium difficile. Intestinal drainage contents from an ileostomy were enzyme immunoassay positive for C. difficile toxin A. Gross and histopathologic features of the small-bowel resection specimen were similar to those characteristic of pseudomembranous colitis. The patient was treated successfully with metronidazole. These findings suggest a reservoir for C. difficile also exists in the small intestine and that conditions for enhanced mucosal susceptibility to C. difficile overgrowth may occur in the small-bowel environment of antibiotic-treated patients after colectomy. Pseudomembranous enteritis should be a consideration in those patients who present with purulent ostomy drainage, abdominal pain, fever, leukocytosis, or symptoms of septic shock.- - - - - - - - - - ranking = 1.25keywords = enteritis (Clic here for more details about this article) |
3/17. clostridium difficile small bowel enteritis occurring after total colectomy.clostridium difficile infection is usually associated with antibiotic therapy and is almost always limited to the colonic mucosa. Small bowel enteritis is rare: only 9 cases have been previously cited in the literature. This report describes a case of C. difficile small bowel enteritis that occurred in a patient after total colectomy and reviews the 9 previously reported cases of C. difficile enteritis.- - - - - - - - - - ranking = 1.75keywords = enteritis (Clic here for more details about this article) |
4/17. Ileal perforation secondary to clostridium difficile enteritis: report of 2 cases.Two cases of small-bowel perforation secondary to clostridium difficile enteritis are described and compared with the 8 cases of C difficile enteritis reported in the medical literature. The cause of small-bowel involvement with C difficile is unknown, but prior antibiotic use, prior colectomy, chronic alterations in small-bowel flora, and other host factors are discussed.- - - - - - - - - - ranking = 1.5keywords = enteritis (Clic here for more details about this article) |
5/17. Pre-operative radiological diagnosis of acute necrotizing enteritis in systemic lupus erythematodes.Acute abdominal complications of systemic lupus erythematodes requiring laparatomy are not frequent. A 30-year-old man with systemic lupus erythematodes developed a necrotizing enteritis of the small bowel with pneumatosis intestinalis. Only one case of intestinal vasculitis associated with systemic lupus erythematodes has previously been reported. Presence of intramural gas in the small bowel and of gas in the portal vein was detected on plain abdominal film and confirmed by subsequent CT examination. Since corticosteroids often mask the severity of the disease, radiological evaluation is essential to the overall management of the patient with intestinal vasculitis. Due to the observed radiological signs, emergency laparotomy was performed. Histologic examination revealed necrotizing enteritis due to vasculitis.- - - - - - - - - - ranking = 1.5keywords = enteritis (Clic here for more details about this article) |
6/17. Perforation complicating rifampin-associated pseudomembranous enteritis.An 18-year-old man developed a perforated jejunum while receiving rifampin antituberculous chemotherapy. The perforations were located within longitudinal ulcers characteristic of pseudomembranous enterocolitis. Pseudomembranous inflammation was limited to the small intestine. The absence of colonic involvement delayed establishment of the diagnosis. Successful surgical intervention consisting of small-bowel resection with primary anastomosis was accomplished for this rare and potentially fatal complication of antituberculous chemotherapy.- - - - - - - - - - ranking = 1keywords = enteritis (Clic here for more details about this article) |
7/17. clostridium perfringens type C causing necrotising enteritis.A rapidly fatal case of enteritis necroticans in a 24 year old man with diabetes was caused by clostridium perfringens type C. The role of beta toxin in the disease is discussed. This type has not been previously described as a causative agent in necrotising bowel disease of man outside endemic areas.- - - - - - - - - - ranking = 1.25keywords = enteritis (Clic here for more details about this article) |
8/17. Spurious pseudomembranous enteritis in strongyloidiasis.A fatal case of strongyloidiasis, unsuspected until postmortem microscopy, is presented. At autopsy, the gross changes in the small bowel of the patient suggested pseudomembranous enteritis. The "membrane" consisted of inspissated barium sulphate from a gastrointestinal series 2 wk before death, nematodes, and proteinaceous material. We believe these findings to be unique. It is possible that bowel hypomotility, known to occur in strongyloidiasis, favored retention and inspissation of barium sulphate, thus starting a vicious cycle favoring further stasis with increased susceptibility to burrowing worms and augmented auto-infection.- - - - - - - - - - ranking = 1.25keywords = enteritis (Clic here for more details about this article) |
9/17. pneumatosis cystoides intestinalis. autopsy study of two fatal cases in adults.Two cases of pneumatosis cystoides intestinalis (PCI), apparently of different etiologies, were found at autopsy in cancer patients. One case was associated with chronic obstructive lung disease and with emphysema of soft tissues of the mediastinum, retroperitoneum, and mesentery, whereas the other showed pseudomembranous enteritis with bacterial and fungal overgrowths. The latter case supports the role of gas-forming bacteria, while the former provides an anatomical evidence of pulmonary disease as a cause of PCL. Obstruction of the upper gastrointestinal tract may contribute to the occurrence of PCI by a complication of aspiration pneumonitis or disturbance of the normal bacterial flora of the intestine as well as an increase of the intraluminal pressure. In addition to the etiologic considerations, the importance of clinical diagnosis of PCI has been emphasized since both cases in the present report were more or less related to the cause of death.- - - - - - - - - - ranking = 0.25keywords = enteritis (Clic here for more details about this article) |
10/17. Necrotising enterocolitis in older infants.Thirteen children, ranging in age from 45 days to 2 years, had severe gastrointestinal illness with the features characteristic of neonatal necrotising enterocolitis. All 13 children had preceding gastroenteritis leading to hypovolaemia. Necrotising enterocolitis can occur in children beyond the neonatal age group and it may occur as a sequel to gastroenteritis.- - - - - - - - - - ranking = 0.5keywords = enteritis (Clic here for more details about this article) |
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