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First pediatric case of C hromobacterium haemolyticum causing proctocolitis
Author(s) -
Tanpowpong Pornthep,
Charoenmuang Rarong,
Apiwattanakul Nopporn
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12301
Subject(s) - bloody diarrhea , medicine , hematochezia , colonoscopy , colitis , inflammatory bowel disease , diarrhea , bloody , antibiotics , gastroenterology , dysentery , etiology , disease , microbiology and biotechnology , surgery , pathology , colorectal cancer , cancer , biology
Bloody diarrhea in children is usually due to either infectious or inflammatory etiology, but infection is far more common than inflammatory bowel disease in children worldwide. If, however, the patient has unfavorable response to antibiotics and a definite infectious agent has yet to be identified; colonoscopy should be performed. The current patient presented with acute onset of mucous bloody diarrhea. Stool culture was initially identified as V ibrio mimicus and later identified as A eromonas schubertii but the biochemistry did not fit well with either organism. After a prolonged course of hematochezia despite i.v. antibiotics, colonoscopy was performed that showed inflammation in the rectosigmoid area. Meanwhile, the final biochemistry tests and 16s rRNA sequencing of the organism confirmed C hromobacterium haemolyticum infection. Twelve weeks after the initial colonoscopy, repeat colonoscopy showed post‐infectious colitis. Herein we report on the first pediatric case of C . haemolyticum infection causing proctocolitis.