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
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FELSEN J, WOLARSKY W. SUPPURATIVE PYLEPHLEBITIS WITH BACTEREMIA IN CHRONIC ULCERATIVE COLITIS(SUPPURATIVE PYLEPHLEBITIS WITH BACTEREMIA IN CHRONIC ULCERATIVE COLITIS*). Ann Intern Med. 1950;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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