Brown R, Tedesco F J, Assad R T, Rao R
Dig Dis Sci. 1986 May;31(5):548-51. doi: 10.1007/BF01320324.
We describe a 15-month-old male who presented with fever and diarrhea 24 hr after receiving antibiotics for otitis media. A flexible sigmoidoscopy was initially interpreted endoscopically as antibiotic-associated pseudomembranous colitis, and the patient was treated with vancomycin. The diagnosis of antibiotic-associated colitis was excluded in our patient by the negative stool examination for Clostridium difficile toxin, the failure to obtain supportive features on rectal biopsy, and the failure to demonstrate sigmoidoscopic improvement with vancomycin therapy. Thirteen days later, Y. enterocolitica was cultured from the initial stool specimens. In this case, the raised central whitish area on an erythematous base was misinterpreted as pseudomembranous colitis.
我们描述了一名15个月大的男性，他在因中耳炎接受抗生素治疗24小时后出现发热和腹泻。最初，乙状结肠镜检查在内镜下被诊断为抗生素相关性假膜性结肠炎，患者接受了万古霉素治疗。通过艰难梭菌毒素粪便检查阴性、直肠活检未发现支持性特征以及万古霉素治疗后乙状结肠镜检查未显示改善，排除了我们患者的抗生素相关性结肠炎诊断。13天后，从最初的粪便标本中培养出小肠结肠炎耶尔森菌。在这种情况下，红斑基底上凸起的中央白色区域被误诊为假膜性结肠炎。
