JOSEPH FELSEN, M.D.; WILLIAM WOLARSKY, M.D.
Suppurative pylephlebitis with bacteremia complicating chronic ulcerative colitis is rare.1 A review of 783 cases of chronic ulcerative colitis and ileitis under our care failed to reveal this complication in a single instance. Bargen2 reports one case of pylephlebitis among 1333 cases of chronic ulcerative colitis studied over a 10 year period. It occurred after ileostomy. Bockus3 mentions one case without bacteremia occurring two years after ileostomy for chronic ulcerative colitis and quotes a similar report by Elsom and Feder following ileostomy.
Intestinal infections are the most frequent precursors of suppurative pylephlebitis (Lichtman4). However, when suppurative appendicitis is removed from
FELSEN J, WOLARSKY W. SUPPURATIVE PYLEPHLEBITIS WITH BACTEREMIA IN CHRONIC ULCERATIVE COLITIS1. Ann Intern Med. ;33:211–216. doi: 10.7326/0003-4819-33-1-211
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Published: Ann Intern Med. 1950;33(1):211-216.
Gastroenterology/Hepatology, Infectious Disease, Inflammatory Bowel Disease, Liver Disease, Multi-Organ Failure and Sepsis.
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