Abstract
The clinical features of inflammatory bowel disease (IBD) may be mimicked by other infectious enterocolitides. Therefore, differential diagnosis by colonoscopic examination has an important role in the diagnosis of IBD. Infectious enterocolitis caused by salmonella, ameba, and Yersinia infection may appear to be Crohn’s disease; cytomegalovirus (CMV) and enterohemorrhagic E. coli infection may also as appear to be ulcerative colitis at diagnosis. Nevertheless, CMV has an important role in aggravating clinical symptoms in patients with pre-existing ulcerative colitis. Careful history-taking, physical examinations, and laboratory test are helpful for differential diagnosis of colitis caused by infectious causes. Histologic findings may help to distinguish these infectious colitides.
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References
Abreu MT, Harpaz N. Diagnosis of colitis: making the initial diagnosis. Clin Gastroenterol Hepatol. 2007;5:295–301.
Koo JS. Endoscopic differential diagnosis for various colitis. In: 47th Seminar of Korean Society of Gastrointestinal Endoscopy.
Park YS. Ischemic colitis and infectious colitis. Korean J Gastrointest Endosc. 2010;42:163–9.
ASGE Standards of Practice Committee, Shen B, Khan K, Ikenberry SO, Anderson MA, Banerjee S, Baron T, Ben-Menachem T, Cash BD, Fanelli RD, Fisher L, Fukami N, Gan SI, Harrison ME, Jagannath S, Lee Krinsky M, Levy M, Maple JT, Lichtenstein D, Stewart L, Strohmeyer L, Dominitz JA. The role of endoscopy in the management of patients with diarrhea. Gastrointest Endosc. 2010;71:887–92.
Han DS. Diagnostic tips for making the diagnosis of inflammatory bowel disease. Korean J Gastrointest Endosc. 2009;38:181–7.
Korean Society of Gastrointestinal Endoscopy. Atlas of gastrointestinal endoscopy. 1st ed. Seoul: Daehan Medical Publishing; 2011. p. 77–101.
Lee JH. Inflammatory diseases of lower gastrointestinal tract. Korean J Gastrointest Endosc. 2005;30(Suppl.1):39–43.
Hyun KH, Jeon SM, Kim HJ, et al. A case of Yersinia enterocolitica enterocolitis accompanied by colonic adhesion after surgery for uterine myoma in an adult patient. Korean J Med. 2012;83:757–63.
Cheong ES, Jo YJ, An SB, Kim SH, Park YS, Lee WM, Hong YO. A case of steroid treated amebic colitis misdiagnosed as eosinophilic colitis. Korean J Gastrointest Endosc. 2011;43:42–6.
Huh CW, Youn YH, Jung DH, Kim DW, Kho BG, Kim JH, Park H, Lee SI. A case of cytomegalovirus colitis with endoscopic finding resembling Crohn’s disease. Korean J Gastroenterol. 2012;59:303–7.
Hookman P, Barkin JS. Clostridium difficile associated infection, diarrhea and colitis. World J Gastroenterol. 2009;15:1554–80.
Park HS, Han DS. Management of antibiotics-associated diarrhea. Korean J Gastroenterol. 2009;54:5–12.
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Eun, C.S., Han, D.S. (2018). Endoscopic Findings and Diagnosis of Infectious Diseases of the Lower GI Tract: Bacterial, Pseudomembraneous, Amoebic Colitis Cytomegalovirus. In: Hibi, T., Hisamatsu, T., Kobayashi, T. (eds) Advances in Endoscopy in Inflammatory Bowel Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56018-0_13
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DOI: https://doi.org/10.1007/978-4-431-56018-0_13
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