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Infectious Colitis
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Colonic inflammation due to bacterial, viral, fungal, or parasitic infections
            • Pseudomembranous colitis: Descriptive term usually applied to Clostridium difficile colitis

          IMAGING

          • General Features

            • Fluoroscopic Findings

              • CT Findings

                • Imaging Recommendations

                  • Ultrasonographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Aboutaleb N et al: Emerging infectious colitis. Curr Opin Gastroenterol. 30(1):106-15, 2014
                                      2. Burke KE et al: Clostridium difficile infection: a worldwide disease. Gut Liver. 8(1):1-6, 2014
                                      3. Raman SP et al: MDCT and CT angiography evaluation of rectal bleeding: the role of volume visualization. AJR Am J Roentgenol. 201(3):589-97, 2013
                                      4. Ninan S et al: The young patient with acute bloody diarrhoea. Acute Med. 13(2):90-6, 2014
                                      5. Antonopoulos P et al: An emergency diagnostic dilemma: a case of Yersinia enterocolitica colitis mimicking acute appendicitis in a beta-thalassemia major patient: the role of CT and literature review. Emerg Radiol. 15(2):123-6, 2008
                                      6. Thoeni RF et al: CT imaging of colitis. Radiology. 240(3):623-38, 2006
                                      7. Thielman NM et al: Clinical practice. Acute infectious diarrhea. N Engl J Med. 350(1):38-47, 2004
                                      8. Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
                                      9. Philpotts LE et al: Colitis: use of CT findings in differential diagnosis. Radiology. 190(2):445-9, 1994
                                      10. Schmitt SL et al: Bacterial, fungal, parasitic, and viral colitis. Surg Clin North Am. 73(5):1055-62, 1993
                                      11. Wall SD et al: Gastrointestinal tract in the immunocompromised host: opportunistic infections and other complications. Radiology. 185(2):327-35, 1992
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Colonic inflammation due to bacterial, viral, fungal, or parasitic infections
                                                • Pseudomembranous colitis: Descriptive term usually applied to Clostridium difficile colitis

                                              IMAGING

                                              • General Features

                                                • Fluoroscopic Findings

                                                  • CT Findings

                                                    • Imaging Recommendations

                                                      • Ultrasonographic Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Aboutaleb N et al: Emerging infectious colitis. Curr Opin Gastroenterol. 30(1):106-15, 2014
                                                                          2. Burke KE et al: Clostridium difficile infection: a worldwide disease. Gut Liver. 8(1):1-6, 2014
                                                                          3. Raman SP et al: MDCT and CT angiography evaluation of rectal bleeding: the role of volume visualization. AJR Am J Roentgenol. 201(3):589-97, 2013
                                                                          4. Ninan S et al: The young patient with acute bloody diarrhoea. Acute Med. 13(2):90-6, 2014
                                                                          5. Antonopoulos P et al: An emergency diagnostic dilemma: a case of Yersinia enterocolitica colitis mimicking acute appendicitis in a beta-thalassemia major patient: the role of CT and literature review. Emerg Radiol. 15(2):123-6, 2008
                                                                          6. Thoeni RF et al: CT imaging of colitis. Radiology. 240(3):623-38, 2006
                                                                          7. Thielman NM et al: Clinical practice. Acute infectious diarrhea. N Engl J Med. 350(1):38-47, 2004
                                                                          8. Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
                                                                          9. Philpotts LE et al: Colitis: use of CT findings in differential diagnosis. Radiology. 190(2):445-9, 1994
                                                                          10. Schmitt SL et al: Bacterial, fungal, parasitic, and viral colitis. Surg Clin North Am. 73(5):1055-62, 1993
                                                                          11. Wall SD et al: Gastrointestinal tract in the immunocompromised host: opportunistic infections and other complications. Radiology. 185(2):327-35, 1992