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Surg Infect (Larchmt) ; 5(3): 301-7, 2004.
Article in English | MEDLINE | ID: mdl-15684801

ABSTRACT

BACKGROUND: Regional enteritis may present in the setting of a variety of clinical symptoms. These symptoms range from mild to severe. METHODS: Here we describe two different presentations of regional enteritis (Crohn's disease): one in the setting of Clostridium perfringens sepsis and the second in association with hemolytic-uremic syndrome. Both presentations resulted in life-threatening multiple organ dysfunction syndrome. RESULTS: Following appropriate surgical management and intensive physiologic support, both patients recovered, despite a MODS-predicted risk of mortality of 100% and 91%, respectively. CONCLUSIONS: Fulminant presentations of regional enteritis of this magnitude are rare, and highlight the resolution of severe multiple organ dysfunction for each presentation.


Subject(s)
Clostridium Infections/therapy , Crohn Disease/diagnosis , Crohn Disease/therapy , Multiple Organ Failure/therapy , Systemic Inflammatory Response Syndrome/diagnosis , Systemic Inflammatory Response Syndrome/therapy , Adult , Anti-Bacterial Agents , Blood Chemical Analysis , Clostridium Infections/diagnosis , Combined Modality Therapy , Critical Illness , Disease Progression , Drug Therapy, Combination/therapeutic use , Female , Follow-Up Studies , Humans , Laparotomy/methods , Male , Multiple Organ Failure/diagnosis , Risk Assessment , Tomography, X-Ray Computed , Treatment Outcome
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