RESUMO
A case of ulcerative proctitis complicating chrysotherapy for rheumatoid arthritis and a literature review of gold induced enterocolitis is presented. Only 26 patients have been reported with this complication. No specific therapy is available, except supportive measures and cessation of gold therapy.
Assuntos
Colite Ulcerativa/induzido quimicamente , Tiomalato Sódico de Ouro/efeitos adversos , Artrite Reumatoide/tratamento farmacológico , Colite Ulcerativa/patologia , Diarreia/induzido quimicamente , Tiomalato Sódico de Ouro/uso terapêutico , Humanos , Mucosa Intestinal/patologia , Masculino , Melena/induzido quimicamente , Pessoa de Meia-Idade , Proctite/induzido quimicamente , Reto/patologiaRESUMO
When isolated from the female genital tract, diphtheroids are usually regarded as commensal organisms. Corynebacterium kutscheri however is a pathogen in laboratory rodents. We report a case in which C. kutscheri was isolated as a pure culture from the umbilical cord and from other surface sites in an infant. Histological examination of the cord and membranes demonstrated the organisms within these fetal tissues. The organisms evoked a fetal cellular response. The importance of recognising commensals as potential pathogens in states of altered host resistance in stressed.