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enterocolitis
Etiology:
- infection
a) Shigella
b) Salmonella
c) amebiasis (Entamoeba histolytica)
d) Yersinia enterocolitica
e) Campylobacter jejuni
f) lymphogranuloma venereum (LVG)
g) Chlamydia infection (other than LVG)
h) Neisseria gonorrhea
i) Clostridium difficile (pseudomembranous colitis)
j) Mycobacterial infection
- Mycobacterium tuberculosis
- Mycobacterium avium-intracellulare
k) enteropathic Escherichia coli O157:H7
l) Giardia lamblia
m) Aeromonas hydrophilia
n) Plesiomonas shigelloides Epdiemiology:
- neonates, especially preterm infants.
Pathology:
- inflammation of the intestinal mucosa
- bowel necrosis & intestinal perforation
* image [3]
Clinical manifestations:
- abdominal distension
Radiology:
- abdominal X-ray: dilated loops of bowel
- abdominal ultrasound may show intestinal perforation
Management:
- exploratory laparotomy
- resection of affected bowel segment
- ostomy, evential reanastomasis of remaining bowel
Related
proctitis (rectitis)
Specific
bacterial enteritis
cholera
dysentery
inflammatory bowel disease
microscopic colitis
pseudomembranous enterocolitis
radiation colitis; radiation enteropathy
typhlitis; necrotizing/neutropenic enterocolitis; necrotizing enteropathy; ileocecal syndrome; cecitis
viral enteritis
General
gastroenteritis
intestinal disease
References
- Manual of Medical Therapeutics, 28th ed, Ewald &
McKenzie (eds), Little, Brown & Co, Boston, 1995, pg 371
- Harrison's Principles of Internal Medicine, 14th ed.
Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 1640
- Kim W, Seo JM.
Necrotizing Enterocolitis.
N Engl J Med 2020; 383:2461, Dec 17
PMID: 33314871
https://www.nejm.org/doi/full/10.1056/NEJMicm2020782