A Rare Cause of Diarrhea: Intestinal Spirochetosis in an HIV-Positive Patient

Author:

Falgout Lacey1ORCID,Kailas Shilpa1,Sridhar Supraja1,Loganantharaj Nisha1

Affiliation:

1. Department of Gastroenterology, Louisiana State University Health Sciences Center, New Orleans, LA

Abstract

ABSTRACT Intestinal spirochetosis (IS) is a rare gastrointestinal infection with vague presenting symptoms. Diagnosis is confirmed histopathologically. Risk factors include homosexuality and HIV. Antibiotic treatment with metronidazole usually leads to resolution of symptoms. We present the case of a 56-year-old HIV-positive man with chronic, watery diarrhea who was diagnosed with IS. This case highlights the importance of considering IS in the differential in HIV-positive patients with nonspecific gastrointestinal symptoms after more common etiologies have been ruled out.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference10 articles.

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3. Rectal spirochaetosis in homosexual men: The association with sexual practices, HIV infection and enteric flora;Law;Genitourin Med,1994

4. Human intestinal spirochetosis—A review;Tsinganou;Ger Med Sci,2010

5. Brachyspira (Serpulina) pilosicoli spirochetemia in an immunocompromised patient;Kanavaki;Infection,2002

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