Hegelmaier C, Hütig H B, Kalbheim H J
Chirurgische Universitätsklinik, Knappschaftskrankenhaus Bochum-Langendreer.
Klin Wochenschr. 1991;69 Suppl 26:57-60.
We report on one rare case of recurrent pseudomembranous colitis associated with antibiotic treatment with Aztreonam. The acute recurrence of colitis following oral treatment with vancomycin together with acute abdominal symptoms was successfully treated by an emergency operative procedure (anus praeter coecalis et sigmoidalis). Subsequent local antibiotics (transcoecal vancomycin) were given. Based on a review of the literature, we discuss the etiology, pathogenesis, diagnostics and treatment of pseudomembranous antibiotic-associated colitis.
我们报告了一例罕见的与氨曲南抗生素治疗相关的复发性假膜性结肠炎病例。口服万古霉素治疗后结肠炎急性复发并伴有急性腹部症状,通过紧急手术程序(经盲肠和乙状结肠以外的肛门)成功治疗。随后给予局部抗生素(经盲肠万古霉素)。基于文献综述,我们讨论了假膜性抗生素相关性结肠炎的病因、发病机制、诊断和治疗。