A Case of Toxic Megacolon Associated with Fulminant Pseudomembranous Colitis / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 112-116, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-186039
ABSTRACT
The clinical presentation of Clostridium difficile infection ranges from asymptomatic carriage, colitis with or without pseudomembranes, to fulminant colitis. Although not common, fulminant Clostridium difficile colitis can result in bowel perforation and peritonitis with a high mortality rate. We report a case of toxic megacolon associated with fulminant pseudomembranous colitis. We experienced a case of a 65-year-old male patient who presented with abdominal distension and pain for three days during treatment of pneumonia. We were able to diagnose the case as a toxic megacolon associated with fulminant pseudomembranous colitis. In spite of oral metronidazole treatment and conservative treatment, the clinical course worsened and the patient went into septic shock. The patient underwent a total colectomy but the clinical situation did not improve and the patient died.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Péritonite
/
Pneumopathie infectieuse
/
Choc septique
/
Entérocolite pseudomembraneuse
/
Clostridioides difficile
/
Colectomie
/
Colite
/
Mégacôlon toxique
/
Métronidazole
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Korean Journal of Gastrointestinal Endoscopy
Année:
2008
Type:
Article
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