Spirochaetosis of the human rectum associated with an intraepithelial mast cell and IgE plasma cell response.

Abstract:

:In two patients presenting with mild intestinal symptoms, rectal spirochaetosis was the only morphological abnormality diagnosed by light microscopy. A re-evaluation of the morphological changes using electron microscopy and immunohistochemistry showed certain unusual features: the microorganisms were observed within epithelial cells and in subepithelial macrophages; there were numerous partially degranulated intraepithelial mast cells; and there was a marked increase in the proportion of IgE plasma cells within the lamina propria. Mucosal penetration by the organisms may be responsible for the unusual immune response. In one patient, treatment with antibiotics eliminated the spirochaetes and resulted in a clinical improvement. Spirochaetes should not always be considered as harmless commensals in the colon.

journal_name

Gut

journal_title

Gut

authors

Gebbers JO,Ferguson DJ,Mason C,Kelly P,Jewell DP

doi

10.1136/gut.28.5.588

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

588-93

issue

5

eissn

0017-5749

issn

1468-3288

journal_volume

28

pub_type

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