Document Detail


Ultrasonographic assessment of Salmonella enterocolitis in children.
MedLine Citation:
PMID:  10369909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Salmonella enterocolitis (SE) is one of the important causes of acute infectious diarrhoea. Imaging studies are rarely performed on these patients. Consequently, ultrasound (US) features of SE are controversial. OBJECTIVE: To identify the clinical significance of US in the evaluation of SE. MATERIAL AND METHODS: Abdominal US was performed in 15 patients with SE and 9 patients with Rotavirus enterocolitis (RE). RESULTS: Ascites was present in 60 % and mural thickening of the colon in 40 % of patients with SE on abdominal US, whereas we could not identify these features in patients with RE. In patients with SE, colonic wall thickening; and ascites, the levels of C-reactive protein (CRP) were significantly higher as compared to patients with SE and no colonic wall thickening or ascites. Also, the stool occult blood test was positive more often in patients with colonic wall thickening and ascites on US than in patients without these findings. The colonic wall thickness significantly correlated with CRP and stool occult blood level. CONCLUSIONS: US is able to identify pathological changes in bowel and intra-abdominal spaces. The US findings of ascites and colonic wall thickening may be useful for determining the severity of SE.
Authors:
D Ueda; T Sato; M Yoshida
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Pediatric radiology     Volume:  29     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-13     Completed Date:  1999-07-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  469-71     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Sapporo Higashi Tokushukai Hospital, 3-21, E13, N33, Higashi-ku, Sapporo, 065, Japan.
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MeSH Terms
Descriptor/Qualifier:
Ascites / etiology,  ultrasonography
Child, Preschool
Diagnosis, Differential
Enterocolitis / complications,  ultrasonography*
Feces / microbiology,  virology
Female
Follow-Up Studies
Humans
Infant
Male
Occult Blood
Retrospective Studies
Rotavirus / isolation & purification
Rotavirus Infections / complications,  ultrasonography
Salmonella / isolation & purification
Salmonella Infections / complications,  ultrasonography*
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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