A Case of Pseudomembranous Colitis in a Juvenile Rheumatoid Arthritis Patient Taking Methotrexate / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 387-390, 2010.
Article
in Korean
| WPRIM
| ID: wpr-51782
ABSTRACT
Pseudomembranous colitis is mainly caused by antibiotics and Clostridium difficile infection. But conditions such as gastrointestinal surgery, antacid medication, anti-neoplastic agent or immunosuppressive agent which influences the normal flora of colon can induce colitis without the administration of any antibiotics. We experienced a 13 year-old male who was taking low-dose methotrexate for juvenile rheumatoid arthritis complained diarrhea and abdominal pain for 3 weeks. Sigmoidoscopic findings revealed diffuse patch yellowish pseudomembranes on the rectum. Histologic finding was compatible to pseudomembranous colitis. His symptom was improved after stop taking methotrexate and the administration of metronidazole. If a patient treated with immunosuppressive agents or antineoplastic agents complains diarrhea, fever or abdominal pain and has not improved with conservative care, pseudomembranous colitis should be taken into account as a differential diagnosis and prompt treatment is required for better prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthritis, Juvenile
/
Enterocolitis, Pseudomembranous
/
Tomography, X-Ray Computed
/
Abdominal Pain
/
Methotrexate
/
Sigmoidoscopy
/
Antirheumatic Agents
/
Diagnosis, Differential
/
Diarrhea
/
Metronidazole
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Adolescent
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2010
Type:
Article
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