{"id":3982,"date":"2019-05-14T09:00:41","date_gmt":"2019-05-14T09:00:41","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-espiroquetose-intestinal\/"},"modified":"2022-05-26T23:57:14","modified_gmt":"2022-05-26T23:57:14","slug":"caso-clinico-espiroquetose-intestinal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-espiroquetose-intestinal\/","title":{"rendered":"Caso Cl\u00ednico &#8211; Espiroquetose Intestinal"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Paciente, masculino, 45 anos, HIV + h\u00e1 cerca de 20 anos, relata ter interrompido o uso de anti-retrovirais h\u00e1 6 meses por conta pr\u00f3pria.<\/p>\n<p>Queixa-se de diarreia associada a epis\u00f3dios de enterorragia nos \u00faltimos 2 meses.<\/p>\n<p>Foi encaminhado ao nosso servi\u00e7o para realiza\u00e7\u00e3o de colonoscopia que evidenciou em c\u00f3lon sigmoide, m\u00faltiplas eros\u00f5es planas e desnudas esparsamente distribu\u00eddas sobre mucosa edemaciada e medindo entre 2-3 mm. Ainda em sigmoide notou-se a presen\u00e7a de les\u00f5es polipoides, com tamanhos em torno de 4-8 mm, avermelhadas e com eros\u00f5es apicais.<\/p>\n<p>Seguem as imagens:<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-8088\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose16-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose16-1-300x225.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose16-1-585x439.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose16-1.jpg 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/> <img decoding=\"async\" class=\"alignnone size-medium wp-image-8089\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose14-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose14-1-300x225.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose14-1-585x439.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose14-1.jpg 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/> <img decoding=\"async\" class=\"alignnone size-medium wp-image-8090\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose15-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose15-1-300x225.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose15-1-585x439.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose15-1.jpg 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-8091\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose13-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose13-1-300x225.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose13-1-585x439.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose13-1.jpg 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-8092\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose12-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose12-1-300x225.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose12-1-585x439.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose12-1.jpg 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-8093\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose11-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose11-1-300x225.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose11-1-585x439.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/05\/espiroquetose11-1.jpg 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Realizamos m\u00faltiplas bi\u00f3psias que mostraram colite cr\u00f4nica com componente erosivo e hiperplasia folicular linf\u00f3ide com presen\u00e7a de estruturas consistentes com <strong><u>espiroquetose<\/u><u> intestinal.<\/u><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Revis\u00e3o:<\/strong><\/p>\n<ul>\n<li>A espiroquetose intestinal \u00e9 definida histologicamente como a presen\u00e7a de microrganismos da fam\u00edlia\u00a0<i>spirochetaceae<\/i>\u00a0ligadas ao \u00e1pice das c\u00e9lulas do epit\u00e9lio c\u00f3lico.<\/li>\n<li>A doen\u00e7a pode ser provocada por um grupo heterog\u00eaneo de bact\u00e9rias. Em humanos, a\u00a0<i>Brachyspira aalborgi<\/i>\u00a0e a\u00a0<i>Brachyspira pilosicoli<\/i>\u00a0predominam.<\/li>\n<li>A incid\u00eancia da coloniza\u00e7\u00e3o intestinal por espiroquetas varia de 1% nos pa\u00edses desenvolvidos a at\u00e9 34% nas \u00e1reas mais pobres, atingindo taxas de coloniza\u00e7\u00e3o de 62,5% entre homossexuais e em pacientes portadores do v\u00edrus da imunodefici\u00eancia humana (HIV).<\/li>\n<li>O significado cl\u00ednico dessa coloniza\u00e7\u00e3o ainda \u00e9 incerto e a maioria dos infectados permanece assintom\u00e1tica.<\/li>\n<li>Quando h\u00e1 sintomas gastrointestinais, o tratamento mais utilizado e efetivo \u00e9 feito com metronidazol na dose de 500 mg 3 vezes ao dia por 10 dias. H\u00e1 relatos de s\u00e9ries de casos onde a clindamicina e macrol\u00eddeos foram utilizados com sucesso.<\/li>\n<li>Manifesta\u00e7\u00e3o de sintomas \u00e9 mais comum em pacientes imunodeprimidos.<\/li>\n<li>A infec\u00e7\u00e3o pelo\u00a0<i>Treponema pallidum<\/i>\u00a0deve ser exclu\u00edda, pois os tratamentos s\u00e3o diferentes e as complica\u00e7\u00f5es por essa \u00faltima s\u00e3o mais graves.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div id=\"attachment_10040\" style=\"width: 847px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/espiroquetose.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10040\" class=\"size-full wp-image-10040\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/espiroquetose.png\" alt=\"\" width=\"837\" height=\"607\" \/><\/a><p id=\"caption-attachment-10040\" class=\"wp-caption-text\">Acentuamento da borda em escova, que assume aspecto felpudo \u00e0 histologia<\/p><\/div>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/spiroquetose.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-10041\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/spiroquetose.png\" alt=\"\" width=\"786\" height=\"576\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias<\/strong><\/p>\n<ol>\n<li>Bechara C. S. et al. \u201cESPIROQUETOSE INTESTINAL \u2010 RELATO DE CASO E REVIS\u00c3O DE LITERATURA.\u201d Journal of Coloproctology vol. 38 (2018); 68. doi.org\/10.1016\/j.jcol.2018.08.144<\/li>\n<\/ol>\n<p>2. Nadal, Luis Roberto Manzione, &amp; Nadal, Sidney Roberto. (2011). Intestinal spirochetosis.\u00a0<i>Journal of Coloproctology (Rio de Janeiro)<\/i>,\u00a0<i>31<\/i>(4), 405-406.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Paciente, masculino, 45 anos, HIV + h\u00e1 cerca de 20 anos, relata ter&hellip;<\/p>\n","protected":false},"author":4256,"featured_media":3983,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[145],"tipo":[156],"volume":[263],"class_list":["post-3982","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-145","tipo-colonoscopia","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Caso Cl\u00ednico - Espiroquetose Intestinal &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-espiroquetose-intestinal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Caso Cl\u00ednico - Espiroquetose Intestinal\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Paciente, masculino, 45 anos, HIV + h\u00e1 cerca de 20 anos, relata ter interrompido o uso de anti-retrovirais h\u00e1 6 meses por conta pr\u00f3pria. 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