Korean J Gastrointest Endosc > Volume 22(2); 2001 > Article

Korean Journal of Gastrointestinal Endoscopy 2001;22(2): 83-87.

원저 : 전 대장내시경 검사로 관찰한 살모넬라 대장염의 임상적 고찰 ( Clinical Presentations of Salmonella Colitis on Total Colonoscopy )

홍수진(Su Jin Hong),유창범(Chang Beom Ryu),김진오(Jin Oh Kim),조주영(Joo Young Cho),이준성(Joon Seong Lee),심찬섭(Chan Sup Shim),이문성(Moon Sung Lee),함정식(Jung Sik Ham),천갑진(Gab Jin Cheon)

Abstract

Background/Aim: Salmonella can cause an asymptomatic intestinal carrier state or clinical disease. The most common clinical manifestation is enterocolitis. In diagnosis of salmonellosis, total colonoscopy is not perfomed routinely, but to diagnose and treat the some of salmonellosis presented with acute massive rectal bleeding, fever, diarrhea, or abdominal pain resulted from vague cause. We evaluated colonoscopic findings of salmonella colitis, and the efficacy of the colonoscopic biopsy and tissue culture compared with conventional culture of blood, urine, and stool, retrospectively.
Methods:
Six cases were performed total colonoscopy. We analyzed the correlation between clinical onset and colonoscopic findings and compared the efficacy of conventional culture methods.
Results:
Colonoscopic findings were summarized as; 1. Major involved sites were terminal ileum, cecum, and ascending colon, but in some cases, entire colon was involved. 2. Mucosal changes were nonspecific. Of variable culture methods, colonoscopic tissue culture was the most sensitive for identification of causative organisms.
Conclusions:
Colonoscopic features are not useful to diagnose salmonella colitis, because the findings are similar to those in inflammatory bowel disease, and there was no correlations between colonoscopic findings and symptom onset and severity. But, it is safe and useful method to isolate the causative organism of acute infectious colitis. (Korean J Gastrointest Endosc 2001;22:83 - 87)