A Case of Severe Pseudomembranous Colitis with Septic Shock

DOI Web Site Web Site Web Site 8 References Open Access

Bibliographic Information

Other Title
  • 敗血症性ショックをきたした偽膜性大腸炎の１例
  • ハイケツショウセイ ショック オ キタシタ ギマクセイ ダイチョウエン ノ 1レイ
  • 症例報告 敗血症性ショックをきたした偽膜性大腸炎の1例
  • ショウレイ ホウコク ハイケツショウセイ ショック オ キタシタ ギマクセイ ダイチョウエン ノ 1レイ

Search this article

Abstract

<p>Pseudomembranous colitis is one of the antibiotics associated gastrointestinal diseases. The important causal bacterium is clostridium difficile（CD）．We herein report a case of pseudomembranous colitis with septic shock. 79 years old woman who was taking antibiotics by urinary tract infection in previous hospital. She was admitted to our hospital because of abdominal bloating, vomiting and shock. She met the criteria for SIRS and DIC. CT indicated ascites and highly wall thickness from descending colon to rectum. Feces CD toxin was negative. We performed left colectomy and transverse colostomy because of suspicion of pseudomembranous colitis. The resected specimen showed pseudomembrane formation and extensive edema and partial thinness in the colon. Histological examinations revealed pseudomembranous colitis. Severe pseudomembranous colitis suffered from peritonitis, sepsis and shock has a poor prognosis. Severe pseudomembranous colitis patients could require surgical intervention at the appropriate time to improve survival.</p>

Journal

References(8)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top