Clinical significance of human intestinal spirochetosis
Clinical significance of human intestinal spirochetosis
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人肠道螺旋体病的临床意义
DOI：
10.11641/pde.96.1_72
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发表时间：
2020
影响因子：
1.5
通讯作者：
Takayoshi Suzuki
中科院分区：
文献类型：
--
作者：
Naoki Ogiwara;C. Inomoto;M. Yokota;Erika Teramura;Yoshitaka Arase;R. Deguchi;T. Shirai;Takayoshi Suzuki
对我院2019年1月至2019年7月确诊的8例人肠道螺旋体病（HIS）病例进行对比。男7例，女1例，年龄17 ~ 72岁，平均52.8岁。8例患者中有5例出现症状。结肠镜检查结果包括发红（n= 4）、水肿（n= 2）和息肉（n= 4）。这8例患者占同期接受结肠镜检查和组织学检查的所有患者的2.1%。两名患者接受甲硝唑治疗，其中一名患者的症状有所改善。目前，HIS的诊断主要依靠病理检查。HIS应被认为是病因不明的胃肠道症状的原因，我们认为根除可能是治疗的一种选择。
Eight cases diagnosed with human intestinal spirochetosis (HIS) from January 2019 to July 2019 in our hospital were compared. The patients were 7 males and 1 female; their ages ranged from 17 to 72 (mean 52.8) years. Five out of the 8 patients had symptoms. Colonoscopic findings included redness (n= 4), edema (n= 2), and polyps (n= 4). These eight patients comprised 2.1% of all patients who underwent colonoscopy and histological examination during the same period. Metronidazole was administered to two patients, one of whom showed improved symptoms. Currently, the diagnosis of HIS largely depends on pathological examination. HIS should be considered as a cause of gastrointestinal symptoms of unknown etiology, and we believe that eradication may be an option for treatment.