Year 2021 / Volume 113 / Number 7
Letter
Intestinal spirochetosis: normal intestinal flora or etiology of diarrhea?

549-550

DOI: 10.17235/reed.2020.7464/2020

María del Mar Díaz Alcázar, Alicia Martín-Lagos Maldonado, Javier Luis López Hidalgo,

Abstract
A 22-year-old male began with up to 12 loose stools per day, with mucus and no blood. They were present for two months, even during the night. Moreover, he complained of abdominal pain and weight loss. There were no findings on the blood tests. Fecal calprotectin was 225 μg/g. Stool microbiology tests were negative. Ileocolonoscopy displayed normal mucosa but the histological study of the biopsies showed Treponemas genus Brachispira. The patient had a sexual risk behavior. Treatment with metronidazole was initiated with clinical improvement.
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References
1. Malhotra P, Bhardwaj M. Intestinal spirochetosis: the hue is the cue. Indian J Pathol Microbiol 2018;61:151-2
2. Ngwa T, Peng JL, Choi E, et al. colonic spirochetosis in a 60-year-old immunocompetent patient: case report and review. J Investig Med High Impact Case Rep 2016;4(3):2324709616662671. Doi: 10.1177/2324709616662671.
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4. Fuentes Valenzuela E, Oyarzún Bahamonde E, Núñez Rodríguez H. Causa infrecuente de abdominalgia y diarrea. Rev Esp Enferm Dig 2020;112(5):419-20. Doi: 10.17235/reed.2020.6657/2019.
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Díaz Alcázar M, Martín-Lagos Maldonado A, López Hidalgo J. Intestinal spirochetosis: normal intestinal flora or etiology of diarrhea?. 7464/2020


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Publication history

Received: 09/08/2020

Accepted: 31/08/2020

Online First: 27/11/2020

Published: 07/07/2021

Article Online First time: 110 days

Article editing time: 332 days


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