Chlamydia infection resembling ulcerative colitis: Case report

Introduction: The diagnosis of ulcerative colitis is relatively complex because the symptoms are similar to those seen in several other diseases. Objective: To report a case of rectal chlamydial infection whose initial symptoms resembled ulcerative colitis. Case report: A 50-year-old male patient p...

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Main Author: Dario Palhares
Format: Article
Language:English
Published: Zeppelini Editorial e Comunicacao 2022-09-01
Series:DST
Online Access:https://www.bjstd.org/revista/article/view/1208
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author Dario Palhares
author_facet Dario Palhares
author_sort Dario Palhares
collection DOAJ
description Introduction: The diagnosis of ulcerative colitis is relatively complex because the symptoms are similar to those seen in several other diseases. Objective: To report a case of rectal chlamydial infection whose initial symptoms resembled ulcerative colitis. Case report: A 50-year-old male patient presented with diarrhea, blood and mucus in the stools, and an ulcer in the rectum. The histopathological exam pointed to chronic, unspecified inflammation. After a broad serological screening, with Immunoglobulin M positive for Chlamydia and a high titer of immunoglobulin G, the patient was treated with antibiotics and is clinically cured. Later, he remained Immunoglobulin M positive, but the titers of immunoglobulin G lowered considerably. Chlamydia has been shown to live in the gut microbiota, which could explain the case. Conclusion: It is important to search for chlamydial infection as a differential diagnosis of ulcerative colitis.
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spelling doaj.art-58d863b7454b4a6eaf140feea76ba2282023-01-27T18:17:36ZengZeppelini Editorial e ComunicacaoDST2177-82642022-09-013410.5327/DST-2177-8264-2022341208Chlamydia infection resembling ulcerative colitis: Case reportDario Palhares Introduction: The diagnosis of ulcerative colitis is relatively complex because the symptoms are similar to those seen in several other diseases. Objective: To report a case of rectal chlamydial infection whose initial symptoms resembled ulcerative colitis. Case report: A 50-year-old male patient presented with diarrhea, blood and mucus in the stools, and an ulcer in the rectum. The histopathological exam pointed to chronic, unspecified inflammation. After a broad serological screening, with Immunoglobulin M positive for Chlamydia and a high titer of immunoglobulin G, the patient was treated with antibiotics and is clinically cured. Later, he remained Immunoglobulin M positive, but the titers of immunoglobulin G lowered considerably. Chlamydia has been shown to live in the gut microbiota, which could explain the case. Conclusion: It is important to search for chlamydial infection as a differential diagnosis of ulcerative colitis. https://www.bjstd.org/revista/article/view/1208
spellingShingle Dario Palhares
Chlamydia infection resembling ulcerative colitis: Case report
DST
title Chlamydia infection resembling ulcerative colitis: Case report
title_full Chlamydia infection resembling ulcerative colitis: Case report
title_fullStr Chlamydia infection resembling ulcerative colitis: Case report
title_full_unstemmed Chlamydia infection resembling ulcerative colitis: Case report
title_short Chlamydia infection resembling ulcerative colitis: Case report
title_sort chlamydia infection resembling ulcerative colitis case report
url https://www.bjstd.org/revista/article/view/1208
work_keys_str_mv AT dariopalhares chlamydiainfectionresemblingulcerativecolitiscasereport