Comparative histopathology of intestinal infections

HW Moon - Mechanisms in the Pathogenesis of Enteric Diseases, 1997 - Springer
HW Moon
Mechanisms in the Pathogenesis of Enteric Diseases, 1997Springer
Intestinal infections are characterized by a range of histologic changes. Some examples
(moving progressively deeper into the tissue from the intestinal lumen) are: 1)
Enterotoxigenic E. coli infections are characterized by layers of E. coli adherent to villous
epithelium, usually with little or no apparent structural damage to the mucosa. 2) The term
enteropathogenic E. coli infection designates a disease characterized by E. coli attached
intimately to the epithelial cell surface membrane with effacement of brush border microvilli …
Abstract
Intestinal infections are characterized by a range of histologic changes. Some examples (moving progressively deeper into the tissue from the intestinal lumen) are: 1) Enterotoxigenic E. coli infections are characterized by layers of E. coli adherent to villous epithelium, usually with little or no apparent structural damage to the mucosa. 2) The term enteropathogenic E. coli infection designates a disease characterized by E. coli attached intimately to the epithelial cell surface membrane with effacement of brush border microvilli. 3) Rotavirus infections are characterized by destruction of villous epithelial cells. Parvovirus infections are characterized by destruction of crypt epithelial cells. 4) Some intracellular infections with Campylobacter-like organisms are characterized by epithelial cell hyperplasia. 5) Hemorrhagic colitis in humans, caused by enterohemorrhagic E.coli strains, is characterized by mucosal hemorrhage and edema indicative of vascular necrosis. 6) Most of these lesions are accompanied by some degree of inflammation. Neutrophils and lymphocytes mediate some of the structural and functional changes characteristic of these infections. Some changes are mediated directly by microbial products.
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