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      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <Volume-Issue>Volume 1; Issue 5</Volume-Issue>
      <Season>(Sep-Oct, 2020)</Season>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Intestinal Spirochetosis, A Rare Cause of Abdominal Pain in A Polymorbid Immunocompetent Patient: A Case Report</ArticleTitle>
          <FirstName>M. S.</FirstName>
      <Abstract>Intestinal spirochetosis is a rare infection of the gastrointestinal tract caused by the colonization of in colonic mucosae by spirochetae. We report a case of a 78-year-old immunocompetent polymorbid woman who was referred to the gastroenterology clinic for a diagnostic colonoscopy because of unclear chronic abdominal pain. The diagnostic colonoscopy revealed diffuse edematous mucosa in the entire colon and sigma with presence of Spirochetes in the biopsy specimens. The patient was treated with metronidazole 500mg four times a day for ten days. After treatment, we observed a complete remission of symptoms. Chronic pain in these patients is often wrongly considered to be related to previous surgery or polymorbidity. The endoscopic finding of edematous mucosae was non-specific and could not lead to the diagnosis without performing biopsies for histological investigation. Our case underlines the importance of performing diagnostic colonoscopy in immunocompetent polymorbid patients with chronic abdominal pain.</Abstract>
      <Keywords>Intestinal spirochetosis,diagnostic colonoscopy,chronic abdominal pain,spirochetae</Keywords>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=8167&amp;title=Intestinal Spirochetosis, A Rare Cause of Abdominal Pain in A Polymorbid Immunocompetent Patient: A Case Report</Abstract>
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