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[Toxic megacolon in pseudomembranous colitis. Complicated course of antibiotic-induced Clostridium difficile colitis].
Fortschr Med. 1993 May 10; 111(13):219-23.FM

Abstract

We report on a patient with antibiotic-induced pseudomembranous colitis aggravated by toxic megacolon. Colonoscopy not only rapidly permits the diagnosis to be established, but the relief of pressure achieved simultaneously also has a therapeutic effect. If treatment comprising parenteral fluid and electrolyte replacement in combination with oral vancomycin fails to effect an improvement, surgery becomes necessary. Current recommendations for treatment are discussed on the basis of a review of the literature. However, a major preventive measure remains the rational use of antibiotics.

Authors+Show Affiliations

Rexroth G
Medizinische Klinik, Nordwest der Stiftung Hospital zum heiligen Geist, Frankfurt/M.

MeSH

AdolescentClindamycinCombined Modality TherapyEnterocolitis, PseudomembranousFluid TherapyHumansMaleMegacolon, ToxicSigmoidoscopySinusitisVancomycin

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

8514224

Citation

Rexroth, G. "[Toxic Megacolon in Pseudomembranous Colitis. Complicated Course of Antibiotic-induced Clostridium Difficile Colitis]." Fortschritte Der Medizin, vol. 111, no. 13, 1993, pp. 219-23.
Rexroth G. [Toxic megacolon in pseudomembranous colitis. Complicated course of antibiotic-induced Clostridium difficile colitis]. Fortschr Med. 1993;111(13):219-23.
Rexroth, G. (1993). [Toxic megacolon in pseudomembranous colitis. Complicated course of antibiotic-induced Clostridium difficile colitis]. Fortschritte Der Medizin, 111(13), 219-23.
Rexroth G. [Toxic Megacolon in Pseudomembranous Colitis. Complicated Course of Antibiotic-induced Clostridium Difficile Colitis]. Fortschr Med. 1993 May 10;111(13):219-23. PubMed PMID: 8514224.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Toxic megacolon in pseudomembranous colitis. Complicated course of antibiotic-induced Clostridium difficile colitis]. A1 - Rexroth,G, PY - 1993/5/10/pubmed PY - 1993/5/10/medline PY - 1993/5/10/entrez SP - 219 EP - 23 JF - Fortschritte der Medizin JO - Fortschr Med VL - 111 IS - 13 N2 - We report on a patient with antibiotic-induced pseudomembranous colitis aggravated by toxic megacolon. Colonoscopy not only rapidly permits the diagnosis to be established, but the relief of pressure achieved simultaneously also has a therapeutic effect. If treatment comprising parenteral fluid and electrolyte replacement in combination with oral vancomycin fails to effect an improvement, surgery becomes necessary. Current recommendations for treatment are discussed on the basis of a review of the literature. However, a major preventive measure remains the rational use of antibiotics. SN - 0015-8178 UR - https://www.unboundmedicine.com/medline/citation/8514224/[Toxic_megacolon_in_pseudomembranous_colitis__Complicated_course_of_antibiotic_induced_Clostridium_difficile_colitis]_ L2 - http://www.diseaseinfosearch.org/result/1688 DB - PRIME DP - Unbound Medicine ER -