1.Antibiotic-associated Pseudomembranous Colitis
Myung Chul YOO ; Dae Kyung BAE ; Bong Keun KIM ; Ki Young KIM ; Ihn Ghoo KIM
The Journal of the Korean Orthopaedic Association 1983;18(4):763-767
No abstract available in English.
Enterocolitis, Pseudomembranous
2.A case of amebic colitis mimicking pseudomembranous colitis.
Jee Young LEE ; Paul CHOI ; Hyo Keun BAE
Korean Journal of Medicine 2010;78(6):703-704
No abstract available.
Dysentery, Amebic
;
Enterocolitis, Pseudomembranous
;
Sigmoidoscopy
3.Clinical Characterization of Clostridium difficile Infection in Elderly Patients.
The Korean Journal of Gastroenterology 2016;67(2):61-63
No abstract available.
Aged
;
*Clostridium Infections
;
*Clostridium difficile
;
Diarrhea
;
Enterocolitis, Pseudomembranous
;
Humans
4.Refractory Clostridium difficile Infection Cured With Fecal Microbiota Transplantation in Vancomycin-Resistant Enterococcus Colonized Patient.
Mi Ok JANG ; Jun Hwan AN ; Sook In JUNG ; Kyung Hwa PARK
Intestinal Research 2015;13(1):80-84
The rates and severity of Clostridium difficile infections, including pseudomembranous colitis, have increased markedly. However, there are few effective treatments for refractory or recurrent C. difficile infections and the outcomes are poor. Fecal microbiota transplantation is becoming increasingly accepted as an effective and safe intervention in patients with recurrent disease, likely due to the restoration of a disrupted microbiome. Cure rates of >90% are being consistently reported from multiple centers. We cured a case of severe refractory C. difficile infection with fecal microbiota transplantation in a patient colonized by vancomycin-resistant enterococcus.
Clostridium difficile*
;
Colon*
;
Enterococcus*
;
Enterocolitis, Pseudomembranous
;
Humans
;
Microbiota*
5.Antibiotics Associated Hemorrhagic Colitis: A report of two cases.
Kwang An KWUN ; Jeong Ho HAM ; Eun Joo KIM ; Il Kwun CHUNG ; Hong Soo KIM ; Sang Heum PARK ; Moon Ho LEE ; Sun Joo KIM
Korean Journal of Gastrointestinal Endoscopy 2001;22(1):45-49
Antibiotics related colitis is a well recognized disease entity which in its severest form may result in pseudomembranous colitis, whereas in another form, acute hemorrhagic colitis without pseudomembrane, related to the use of penicillin-type antibiotics is rarely reported. The clinical features of hemorrhagic colitis associated with antibiotics was characterized that the bloody diarrhea, often with abdominal cramping pain begins 2~7 days after starting the antibiotics and rapidly recovered after its withdrawal. Pathogenesis of this disease is not entirely clear. It has been believed that right-sided hemorrhagic colitis is one of the main forms of colitis associated with antibiotics, especially ampicillin derivatives or cephalosporin, but recent reports presented left-sided colitis. We experienced 2 cases of hemorrhagic colitis developed on the left colon after the introduction of quinolone.
Ampicillin
;
Anti-Bacterial Agents*
;
Colic
;
Colitis*
;
Colon
;
Diarrhea
;
Enterocolitis, Pseudomembranous
6.A Case of Pseudomembranous Colitis Associated with Neutrocytic Ascites.
Kyoung Sun NA ; Dae Won JUN ; Eun Joo PARK ; Woo Young JANG ; Yong Cheol JEON ; Chang Soo EUN ; Joo Hyun SOHN ; Dong Soo HAN
Korean Journal of Gastrointestinal Endoscopy 2000;21(1):568-571
Antibiotic associated colitis due to Clostridium difficile is a common infection associated with significant morbidity. In severe cases, Pseudomembranous colitis (PMC) may be associated with intraperitoneal fluid accumulation. Howwver, the characteristics of the liquid are seldom described. This case report describes PMC patients who were presented with low serum-ascites albumin gradients (SAAG)and neutrocytic ascites, without evidence of infectious, malignant, or inflammatory peritoneal disease. The characteristics of their fluid specimens and the possible pathogenic mechanisms are discussed. These findings suggest that PMC without bowel perforation or spontaneous bacterial peritonitis.
Ascites*
;
Clostridium difficile
;
Enterocolitis, Pseudomembranous*
;
Humans
;
Peritoneal Diseases
;
Peritonitis
7.Esosinophilic Gastroenteritis with Clostridium difficile-associated Colitis: A Case Report.
Tae Gyoon KIM ; Jongha PARK ; Eun Hee SEO ; Hee Rin JOO ; Seung Ha PARK ; Tae Oh KIM ; Sung Yeon YANG ; Young Soo MOON
Korean Journal of Gastrointestinal Endoscopy 2011;43(1):64-68
Eosinophilic gastroenteritis is an uncommon disease characterized by eosinophilic infiltration in the bowel wall and presents various symptoms depending on the affected site and bowel layer. Pseudomembranous colitis is an antibiotic-associated infection caused by abnormal overgrowth of the toxin-producing Clostridium difficile in the large bowel. A 16-year-old boy was admitted with abdominal pain for 6 days. On admission, we performed an endoscopy and diagnosed gastroduodenitis. Then, we prescribed gastritis medication but he still presented with diffuse abdominal pain and fever above 38.0degrees C after admission. We considered infectious enterocolitis, so we prescribed an antibiotic. The next day, he presented with bloody diarrhea. A diagnosis of pseudomembranous colitis was confirmed by a colonoscopic examination with a biopsy. We also obtained a diagnosis of eosinophilic gastroenteritis through a histological diagnosis. This is the first case of the simultaneous occurrence of eosinophilic gastroenteritis and pseudomembranous colitis in the Korean medical literature. We report this case with a brief review of the literature.
Abdominal Pain
;
Adolescent
;
Biopsy
;
Clostridium
;
Clostridium difficile
;
Diarrhea
;
Endoscopy
;
Enteritis
;
Enterocolitis
;
Enterocolitis, Pseudomembranous
;
Eosinophilia
;
Eosinophils
;
Fever
;
Gastritis
;
Gastroenteritis
;
Humans
8.A Case of Toxic Megacolon Associated with Fulminant Pseudomembranous Colitis.
Dong Hee KOH ; Hang Lak LEE ; Jung Mi KIM ; Won MOON ; Oh Young LEE ; Byung Chul YOON ; Ho Soon CHOI ; Joon Soo HAHM ; Chan Kum PARK
Korean Journal of Gastrointestinal Endoscopy 2008;36(2):112-116
The clinical presentation of Clostridium difficile infection ranges from asymptomatic carriage, colitis with or without pseudomembranes, to fulminant colitis. Although not common, fulminant Clostridium difficile colitis can result in bowel perforation and peritonitis with a high mortality rate. We report a case of toxic megacolon associated with fulminant pseudomembranous colitis. We experienced a case of a 65-year-old male patient who presented with abdominal distension and pain for three days during treatment of pneumonia. We were able to diagnose the case as a toxic megacolon associated with fulminant pseudomembranous colitis. In spite of oral metronidazole treatment and conservative treatment, the clinical course worsened and the patient went into septic shock. The patient underwent a total colectomy but the clinical situation did not improve and the patient died.
Aged
;
Clostridium difficile
;
Colectomy
;
Colitis
;
Enterocolitis, Pseudomembranous
;
Humans
;
Male
;
Megacolon, Toxic
;
Metronidazole
;
Peritonitis
;
Pneumonia
;
Shock, Septic
9.Pseudomembranous Colitis: A Complicated Case with Transient Increase of Carcinoembryonic Antigen.
Dong In NAM ; Chung KANG ; Il Hyung JUNG ; Hyun Gee MOON ; Bo Ram YOUN ; Nam Hun LEE
The Ewha Medical Journal 2015;38(1):54-58
Pseudomembranous colitis (PMC) is a frequent cause of morbidity and mortality among hospitalized patients. Although diarrhea is the most common manifestation, PMC may be associated with intraperitoneal fluid accumulation in the severe cases. And a few cases showing both ascites and pleural effusion have been reported in patients with PMC. We report a case of PMC who showed elevated serum and ascites levels of carcinoembryonic antigen (CEA) with a normal CEA level in pleural effusion and who successfully recovered after oral administration of metronidazole. After treatment, the serum CEA level returned to the reference range.
Administration, Oral
;
Ascites
;
Carcinoembryonic Antigen*
;
Diarrhea
;
Enterocolitis, Pseudomembranous*
;
Humans
;
Metronidazole
;
Mortality
;
Pleural Effusion
;
Reference Values
10.A Case of Ascites by Pseudomembranous Colitis, Initially Diagnosed Malignant Asites.
Chang Uck KIM ; Jin Won CHO ; Jin Young SONG ; Do Kyun JIN ; Su Jin HONG ; Sea Hyub KAE ; Jin LEE ; Sang Aun JOO
Korean Journal of Gastrointestinal Endoscopy 2001;22(4):225-228
Pseudomembranous colitis (PMC) is mostly related with the antibiotics and it presents with diarrhea, abdominal pain, fever, hypoalbuminemia and hypovolemia. In the clinical course of pseudomembranous colitis (PMC), ascites is a rare presentation, and high elevation of carcinoembryonic antigen (CEA) associated with PMC is also a very rare presentation. We experienced a case taken cephalosporin group antibiotics for six weeks and presented with fever, abdominal pain, severe diarrhea, and massive ascites. During evaluation, we found low serum-ascites albumin gradient and high level of CEA in both ascites and plasma. With the impression of hidden malignancy, the special studies were done, but PMC was only found without malignancy. After vancomycin therapy, all symptoms were relieved and CEA level declined.
Abdominal Pain
;
Anti-Bacterial Agents
;
Ascites*
;
Carcinoembryonic Antigen
;
Diarrhea
;
Enterocolitis, Pseudomembranous*
;
Fever
;
Hypoalbuminemia
;
Hypovolemia
;
Plasma
;
Vancomycin