Enterohemorrhagic Escherichia coli: trigger for small vessel vasculitis.
We describe the case of a 19-year-old woman who presented with abdominal pain, vomiting, and a palpable purpuric rash. The patient subsequently developed dysentery and was found to have an infection from Shiga toxin–producing Escherichia coli. The patient also met diagnostic criteria for IgA vasculi...
| Publicado en: | Baylor University Medical Center Proceedings Vol. 37; no. 4; pp. 655 - 659 |
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| Autores principales: | , , , , , |
| Formato: | case study diagnostic images pictorial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177964146&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177964146 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08998280 1XEP jtl: Baylor University Medical Center Proceedings issn: 08998280 maglogo: N pubinfo: dt: Jul2024 vid: 37 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 177964146 177122474 177964146 177964146 10.1080/08998280.2024.2345555 177964146 ppf: 655 ppct: 4 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Enterohemorrhagic Escherichia coli: trigger for small vessel vasculitis. aug: au: Holland, Eva Koskay, Grant Chu, Tiffany Tauseef, Abubakar Nahas, Joseph Andukuri, Venkata affil: School of Medicine, Creighton University, Omaha, Nebraska, USA sug: subj: Vasculitis Radiography Escherichia Coli Infections Microbiology Abdominal Pain Etiology Vomiting Etiology Exanthema Etiology Female Young Adult Dysentery Escherichia Coli Purpura, Schoenlein-Henoch Diagnosis, Differential Steroids Therapeutic Use Biopsy Female ab: We describe the case of a 19-year-old woman who presented with abdominal pain, vomiting, and a palpable purpuric rash. The patient subsequently developed dysentery and was found to have an infection from Shiga toxin–producing Escherichia coli. The patient also met diagnostic criteria for IgA vasculitis (also known as Henoch Schönlein purpura) but had negative immunofluorescence biopsies of the rash. The patient was treated with steroids and achieved recovery. To our knowledge, this is the first documented case of IgA vasculitis in the setting of an enterohemorrhagic E. coli infection. This case highlights an atypical presentation of IgA vasculitis and the need to include small vessel vasculitis as a differential diagnosis when treating patients of all ages. pubtype: Academic Journal doctype: case study diagnostic images pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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