SEARCH FOR ENTERIC MICROBIAL PATHOGENS IN PATIENTS WITH ULCERATIVE-COLITIS

被引:20
作者
BROWN, WJ
HUDSON, MJ
PATRICK, S
MATTHEWS, SCW
HILL, MJ
GENT, AE
GRACE, RH
HELLIER, MD
SWARBRICK, ET
机构
[1] PUBL HLTH LAB SERV,CTR APPL MICROBIOL & RES,DIV PATHOL,PORTON DOWN,SALISBURY SP4 0JG,WILTS,ENGLAND
[2] ROYAL HOSP WOLVERHAMPTON,WOLVERHAMPTON,ENGLAND
[3] NEW CROSS HOSP,WOLVERHAMPTON WV10 0QP,W MIDLANDS,ENGLAND
[4] PRINCESS MARGARET HOSP,SWINDON,ENGLAND
[5] ODSTOCK HOSP,PUBL HLTH LAB,SALISBURY SP2 8BJ,WILTS,ENGLAND
[6] GEN INFIRM,SALISBURY,ENGLAND
关键词
ULCERATIVE COLITIS; INFLAMMATORY BOWEL DISEASE; ENTERIC INFECTION; ETIOLOGY; FECES; MICROFLORA; COLONIZATION RESISTANCE; CYTOTOXIN;
D O I
10.1159/000200985
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Microbial pathogens were sought in faeces of patients with active ulcerative colitis and again after 3 months treatment. 64 patients were examined during their first episode of ulcerative colitis and 30 with relapse of chronic disease. At presentation, bacterial pathogens were not found; 1 patient had cryptosporidiosis. In 10 patients treatment appeared to result in some loss of colonisation resistance as evidenced by colonisation with beta-haemolytic streptococci, Stapkylococcus aureus, candida and Clostridium difficile. Unidentified cytotoxic activity was present in the faeces of 4 patients at presentation and 2 patients during or after treatment. We conclude that enteric infection is an uncommon finding in patients with active ulcerative colitis.
引用
收藏
页码:121 / 128
页数:8
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