Складності діагностики антибіотик-асоційованої діареї на прикладі клінічного випадку

Autor: Кривенко, В. І., Качан, І. С., Федорова, О. П., Кечеджиєва, А. В., Пахомова, С. П.
Zdroj: Zaporozhye Medical Journal; Sep/Oct2023, Vol. 25 Issue 5, p472-476, 5p
Abstrakt: Aim. To identify challenges in the diagnosis and treatment of a patient with intestinal damage due to long-term use of antibiotics. Material and methods. The case of antibiotic-associated diarrhea in a 65-year-old patient is described and analyzed. Results. The patient with a combined pathology of the gastrointestinal tract and cancer of the sigmoid colon developed a complication after a splenectomy - antibiotic-associated diarrhea. The clinical picture of diarrhea was complicated by the development of pseudomembranous colitis, which was masked by a leukemoid reaction and a septic process. The patient with the relapsing disease course developed multiple organ failure that resulted in a lethal outcome. Conclusions. Diarrhea associated with Clostridia difficile caused the development of pseudomembranous colitis. At the same time, the clinical picture of the disease had a mask of a leukemoid reaction and a septic process. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index