Bacterial Colitis
- 28 February 2007
- journal article
- Published by Georg Thieme Verlag KG in Clinics in Colon and Rectal Surgery
- Vol. 20 (1), 018-027
- https://doi.org/10.1055/s-2007-970196
Abstract
Bacterial colitis results in an inflammatory-type diarrhea that is characterized by bloody, purulent, and mucoid stool. These diseases have been designated as bacterial hemorrhagic enterocolitis. Associated symptoms include fever, tenesmus, and severe abdominal pain. The pathologic changes range from superficial exudative enterocolitis to a transmural enterocolitis with ulceration. Common pathologic bacteria causing bacterial colitis include Campylobacter, Salmonella, Shigella, Escherichia, and Yersinia species. The primary source of transmission is fecal-oral spread and ingestion of contaminated food and water. Although detailed history and identification of specific risk factors assist in the diagnosis, definitive diagnosis requires bacterial identification. Therefore, the physician must be familiar with the disease pathophysiology, epidemiology, and specific diagnostic modalities for clinical diagnosis and management. Specific tests are used to detect enteric pathogens and include stool and rectal swab culture, histology, and identification of specific bacterial toxins. Although many of these bacterial colitis infections are self-limiting, antibiotics should be used for high-risk patients and patients with complicated disease.Keywords
This publication has 62 references indexed in Scilit:
- Update on Escherichia coli O157:H7.Current Gastroenterology Reports, 2004
- Toxic megacolon due to Salmonella : a case report and review of the literatureInternational Journal of Colorectal Disease, 2002
- The Clinical Significance of Colonoscopy in Hemorrhagic Colitis Due to Enterohemorrhagic Escherichia coli O157:H7 InfectionEndoscopy, 2002
- THE ROLE OF ANTIBIOTICS IN THE TREATMENT OF INFECTIOUS DIARRHEAGastroenterology Clinics of North America, 2001
- Escherichia coli O157:H7Gastroenterology Clinics of North America, 2001
- Emergency department presentations of typhoid feverThe Journal of Emergency Medicine, 2000
- Diagnosis and Treatment of Sexually Acquired Proctitis and Proctocolitis: An UpdateClinical Infectious Diseases, 1999
- Tuberculous peritonitis-do not miss itDiseases of the Colon & Rectum, 1996
- Endoscopic findings in Yersinia enterocolitica enterocolitisGastrointestinal Endoscopy, 1990
- The Colonic Pathology of Escherichia coli 0157The American Journal of Surgical Pathology, 1990