Shammout Ali, Pazderka Philip
Emergency Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.
Cureus. 2024 Sep 7;16(9):e68887. doi: 10.7759/cureus.68887. eCollection 2024 Sep.
This case report presents a 7-month-old male who was admitted to the emergency room with red-colored stools, initially raising concerns for serious gastrointestinal issues. The child, who had a history of milk protein allergy and eczema, had recently been prescribed cefdinir for an ear infection and was also consuming a hydrolyzed formula containing iron. Despite initial findings of elevated white blood cell count, mild anemia, and hyperkalemia, a stool heme-occult test was negative. The negative heme-occult lead to the consideration of cefdinir-induced stool discoloration as a possible diagnosis, a benign side effect that occurs in the presence of iron supplementation. Following the discontinuation of cefdinir, the patient's symptoms resolved completely on follow up with his pediatrician. A rare occurrence, cefdinir-induced red stool discoloration must be considered in cases of benign appearing infants with "bloody" stools.
本病例报告介绍了一名7个月大的男性,他因大便呈红色被送入急诊室,最初引发了对严重胃肠道问题的担忧。该患儿有牛奶蛋白过敏和湿疹病史,最近因耳部感染被开了头孢地尼,同时还在食用含铁的水解配方奶粉。尽管最初检查发现白细胞计数升高、轻度贫血和高钾血症,但粪便潜血试验呈阴性。潜血试验阴性使得考虑头孢地尼引起的大便变色为可能的诊断,这是在补充铁剂时出现的一种良性副作用。停用头孢地尼后,患儿在儿科医生的随访中症状完全缓解。头孢地尼引起的红色大便变色虽罕见,但在看似良性的有“血性”大便的婴儿病例中必须予以考虑。