Antibiotic-associated haemorrhagic colitis: not alwaysClostridium difficile
| Autor: | Mohanad Soliman, Olalekan Akanbi, Nasir Saleem, Bibek Singh Pannu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Abdominal pain
medicine.medical_specialty medicine.drug_class Antibiotics Colonoscopy Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Colitis biology medicine.diagnostic_test business.industry Transverse colon Klebsiella oxytoca General Medicine Clostridium difficile medicine.disease biology.organism_classification medicine.anatomical_structure Abdomen medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Reports. :bcr-2017 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2017-219915 |
| Popis: | Antibiotic-associated colitis is a gastrointestinal complication of antibiotic use commonly seen in hospitalised patients, with Clostridium difficile (C. difficile) colitis being the most common type. We present a case of haemorrhagic colitis secondary to Klebsiella oxytoca following self-initiated amoxicillin–clavulanic acid use. An 85-year-old woman presented to the emergency department with abdominal pain and mucobloody diarrhoea. History was notable for an ongoing 5-day course of amoxicillin–clavulanic acid use. The CT scan of her abdomen revealed extensive diffuse thickening of the ascending and transverse colon. Stool culture grew K. oxytoca, an established cause of haemorrhagic colitis. She declined colonoscopy but recovered with withdrawal of all antibiotics and conservative treatment. We should be vigilant to haemorrhagic colitis following antibiotic use which is not always C. difficile related. |
| Databáze: | OpenAIRE |
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