Intestinal Spirochetosis Resembles Inflammatory Bowel Disease in a Patient With HIV Infection

A 45-year-old man with human immunodeficiency virus infection and undetectable viral load on antiretroviral therapy, who engaged in sex with men, was evaluated for 1 month of constipation, abdominal pain, and intermittent rectal bleeding. He reported a transient rash, which resolved at presentation. Colonoscopy (Figure A) showed aphthous ulcers, friability, and exudates in the rectosigmoid colon and cecum with normal intervening colon and terminal ileum. Colonic biopsies (Figure B) showed long, undulating bacteria attached vertically to the brush border, and stained black with Warthin –Starry stain, consistent with human intestinal spirochetosis.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research

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Publication date: Available online 21 September 2019Source: Actas Urológicas Españolas (English Edition)Author(s): O. Yazici, A. Kafkasli, A. Erbin, M. Bilal Hamarat, A. Cubuk, O. Sarilar, K. SaricaAbstractPurposeTo evaluate the effect of JJ stents on SWL treatment of moderate (15–25 mm) renal pelvic stones.Materials and methodsBetween January 2016 and December 2017, a total of 152 adult patients who were planned to undergo SWL for a single radiopaque renal pelvic stone were included in the study. Patients with solitary kidney, congenital abnormality, skeletal tract abnormalities, previous urinary ...
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Source Type: research
Surgeons' fears at staff performing heart and orthopaedic ops after just 2 years training | Express.co.uk HUNDREDS of medical staff performing heart and orthopaedic procedures after just two years of training need better regulation, says Britain's largest surgical college. www.express.co.uk
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Authors: Martínez-Acitores D, Hernández Ainsa M, Cortés García L, Bengochea Martínez ML, Palacios Fanlo MJ Abstract Ectopic hepatocellular carcinoma is a rare entity. Most cases are asymptomatic and are occasionally found during autopsy or laparoscopy. They may sometimes cause relevant clinical problems such as abdominal pain or intra-abdominal bleeding. In this clinical case report, we review the literature in order to decipher the case of a 68-year-old female with an ectopic hepatocellular carcinoma that arose from the peritoneum. The patient was diagnosed after being studied du...
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research
The objective of this study was to compare the practices of surgeons in France versus other countries regarding the diagnosis and treatment of IIS.HypothesisDiagnostic and therapeutic practices regarding IIS differ between surgeons in France and in other countries.Material and methodsA 21-item questionnaire in French and English was emailed to the 1300 members of the French Arthroscopy Society and to surgeons from countries other than France. The questionnaire collected information on knowledge about IIS (2 items), the frequency of IIS in clinical practice (2 items), the diagnosis of IIS (6 items), the non-operative and su...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
ConclusionA review of the literature shows that cap polyposis can occur at any age, including childhood, with a slight predilection for the male gender. Rectal bleeding and rectal polyps are consistent features in all reported cases. Other typical symptoms include constipation, diarrhea, and abdominal pain. Symptoms may be very similar to those of chronic inflammatory bowel disease, the most important differential diagnosis. The cause of cap polyposis is still unclear, and specific therapy has not as yet been established. Conservative therapeutic measures should be preferred, especially in children.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
Authors: Chiarelli M, Guttadauro A, Maternini M, Lo Bianco G, Tagliabue F, Achilli P, Terragni S, Gabrielli F Abstract Anal stenosis is a fibrous narrowing of the anal channel. It develops, in most cases, in the aftermath of proctologic surgical procedures with extensive anoderm excision or in the presence of chronic anal inflammation in patients with Crohn Disease. However rare, this condition is thoroughly debilitating for the patients. Symptoms include constipation, pain and bleeding with defecation and a reduction of the caliber of stools. Diagnosis is essentially clinical. Prevention of postsurgical stenosis i...
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
A 45-year-old man with human immunodeficiency virus infection and undetectable viral load on antiretroviral therapy, who engaged in sex with men, was evaluated for 1 month of constipation, abdominal pain, and intermittent rectal bleeding. He reported a transient rash, which resolved at presentation. A colonoscopy (Figure A) showed aphthous ulcers, friability, and exudates in the rectosigmoid colon and cecum with normal intervening colon and terminal ileum. A colonic biopsy (Figure B) showed long, undulating bacteria attached vertically to the brush border, and stained black with Warthin –Starry stain, consistent with...
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research
Follow me on Twitter @drClaire Stomachaches are incredibly common in children. Most of the time they are nothing serious at all. Most are just from a mild stomach bug, or some constipation, or hunger — or are a child’s way of getting out of something they don’t want to do. But a stomachache can sometimes be a sign of a more serious problem. A stomachache worries doctors when… 1.  The pain is severe. By severe, I mean that the child cannot be distracted from it, and is crying or otherwise showing that they are extremely uncomfortable. Any severe pain warrants a trip to the doctor, whether it&rs...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Children's Health Digestive Disorders Parenting Source Type: blogs
Abstract In 2009, an estimated 565,000 Americans had Crohn's disease (1), an inflammatory bowel disorder that can affect any part of the gastrointestinal tract. Symptoms include persistent diarrhea, abdominal cramps and pain, constipation leading to bowel obstruction, and rectal bleeding.* Symptoms sometimes intensify in severity and require hospitalization and surgeries of the small intestine, colon, or rectum (2). Hospital discharge data from the National Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP) were used to estimate U.S. hospitalizations(†) for Crohn's disease as both ...
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research
March is Colon Cancer Awareness Month, today’s TBT post provides some helpful information on colorectal cancer. Michelle was a healthy, active 47 year old. She tried to eat right and she exercised. It looked like the hard work was paying off: no health issues and lots of energy. Her work in the healthcare field motivated her to see her doctors regularly for checkups, to get mammograms and to have her blood work done annually. She knew she was getting close to the magical age of 50 and that soon she would need to get a colonoscopy to screen for colorectal cancer.  Since she had no family history of the disease sh...
Source: Disruptive Women in Health Care - Category: Consumer Health News Authors: Tags: Cancer TBT Source Type: blogs
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