Kampo Treatment Experience in a Case of Suspected MRSA Infection Related Enteritis Complicated by ARDS and Shock
10.3937/kampomed.65.94
- VernacularTitle:急性呼吸促迫症候群とショックを伴ったMRSA 腸炎疑診例に対する漢方治療経験
- Author:
Tatsuya NOGAMI
;
Naotoshi SHIBAHARA
;
Makoto FUJIMOTO
;
Hidetoshi WATARI
;
Shigeru EBISAWA
;
Hiroki MISAWA
;
Hideyuki KITAHARA
;
Sayuri ARAI
;
Hiroaki HIKIAMI
;
Yutaka SHIMADA
- Publication Type:Journal Article
- Keywords:
Enteritis;
MRSA;
acute respiratory distress syndrome;
Kampo treatment;
shojokito
- From:Kampo Medicine
2014;65(2):94-99
- CountryJapan
- Language:Japanese
-
Abstract:
The patient was a 49-year-old woman. She developed retroperitonitis and retroperitoneal emphysema due to iatrogenic duodenal perforation. We inserted a nasogastric tube into her stomach in order to decompress the gastrointestinal tract, and cefoperazone and proton pump inhibitors were administered intravenously. Her symptoms of retroperitonitis were then reduced. However, she developed enteritis suspected due to MRSA infection complicated by acute respiratory distress syndrome, acute renal failure and shock. We administered vancomycin via nasogastric tube, but her symptoms did not improve, so we added shojokito. She relieved her bowels after the administration of shojokito, and an antipyretic tendency was observed. Her breathing status recovered to normal, her blood pressure was stable, and her general condition gradually improved.
In recent years, we have not had many opportunities to perform Kampo treatment for severe infection cases needing hospitalization, but Kampo application has the potential to enhance the efficacy of infection treatments. Thus we advocate the active carrying out of Kampo treatment for patients with intestinal infection.
