Rogers Everett, Dooley Allison, Vu Samantha, Haq Furqan, Ferderigos Spiros
Internal Medicine, Nova Southeastern University's Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Internal Medicine, Largo Medical Center, Largo, USA.
Cureus. 2019 Jun 27;11(6):e5013. doi: 10.7759/cureus.5013.
A 33-year-old obese female with a recent diagnosis of acute diverticulitis (AD) was admitted to the hospital for severe abdominal pain, intractable nausea and vomiting, and diarrhea two days following oral antibiotic treatment for AD. Stool cultures collected upon her readmission were negative for Clostridium difficile (C. difficile) antigen and toxins A and B, but were notable for methicillin-resistant Staphylococcus aureus (MRSA). She was started on intravenous (IV) piperacillin/tazobactam, IV vancomycin, and an oral liquid vancomycin solution, which resulted in rapid resolution of her symptoms. Unfortunately, her symptoms recurred two weeks later and she eventually underwent laparoscopic low anterior resection (LAR) of her colon for continued diverticulitis. This resulted in complete and continued resolution of her symptoms.
一名33岁的肥胖女性，近期被诊断为急性憩室炎（AD），在接受AD口服抗生素治疗两天后，因严重腹痛、顽固性恶心呕吐和腹泻入院。再次入院时采集的粪便培养物艰难梭菌（C. difficile）抗原及毒素A和B检测呈阴性，但耐甲氧西林金黄色葡萄球菌（MRSA）检测结果显著。她开始接受静脉注射（IV）哌拉西林/他唑巴坦、静脉注射万古霉素和口服万古霉素溶液治疗，症状迅速缓解。不幸的是，两周后症状复发，最终她因持续性憩室炎接受了腹腔镜低位前切除术（LAR）。这使她的症状完全且持续缓解。
