Infectious colitis - E. coli 0157:H7

Case contributed by Charlie Chia-Tsong Hsu , 16 Aug 2012
Diagnosis almost certain
Changed by Daniel J Bell, 4 May 2024
Disclosures - updated 22 Aug 2023: Nothing to disclose

Updates to Case Attributes

Body was changed:

E. coli (0157:H7) colitis has a predilection for involvementof the transverse colon and both ascending/descending colon with right sided predominance. The location of bowel involvement may give clues to the type of infectious colitidescolitis responsible.

Typhoid fever (salmonellosis) has a predilection for involving the cecumcaecum, ascending colon and invariably inthe ileum. Shigellosis  predominantly affect predominantly affects the descending colon. Campylobacteriosis affectaffects the small bowel and colon.

Clinical history will often provide clue to the underlying aetiology. Non-infectious cause of colitis to be considered  include  include inflammatory bowel disease in adults, ischaemic colitis in the elderly and pseudomembraneous colitis.

  • -<p><em>E. coli</em> (0157:H7) <a href="/articles/colitis" title="colitis">colitis</a> has a predilection for involvement
  • -of the transverse colon and both ascending/descending colon with right sided predominance. The location of bowel involvement may give clues to the type of infectious colitides. </p><p>Typhoid fever (salmonellosis) has a predilection for involving the cecum, ascending colon and invariably in ileum. Shigellosis  predominantly affect the descending colon. Campylobacteriosis affect the small bowel and colon. </p><p>Clinical history will often provide clue to the underlying aetiology. Non-infectious cause of colitis to be considered  include  <a href="/articles/inflammatory-bowel-disease" title="Inflammatory bowel disease (IBD)">inflammatory bowel disease</a> in adults, <a href="/articles/ischaemic-colitis" title="Ischaemic colitis">ischaemic colitis</a> in the elderly and <a href="/articles/clostridium-difficile-colitis" title="pseudomembraneous colitis">pseudomembraneous colitis</a>. </p>
  • +<p><em>E. coli</em> (0157:H7) <a href="/articles/colitis" title="colitis">colitis</a> has a predilection for involvement of the transverse colon and both ascending/descending colon with right sided predominance. The location of bowel involvement may give clues to the type of infectious colitis responsible.&nbsp;</p><p>Typhoid fever (salmonellosis) has a predilection for involving the caecum, ascending colon and invariably the ileum. Shigellosis&nbsp;predominantly affects the descending colon. Campylobacteriosis affects the small bowel and colon.&nbsp;</p><p>Clinical history will often provide clue to the underlying aetiology. Non-infectious cause of colitis to be considered include&nbsp;<a href="/articles/inflammatory-bowel-disease" title="Inflammatory bowel disease (IBD)">inflammatory bowel disease</a> in adults, <a href="/articles/ischaemic-colitis" title="Ischaemic colitis">ischaemic colitis</a> in the elderly and <a href="/articles/clostridioides-difficile-colitis" title="pseudomembraneous colitis">pseudomembraneous colitis</a>.</p>
Presentation was changed:
35 year old male with twoTwo day history of abdominal pain, diarrhoea and tenesmus. 24 hour history of hematochezia.

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