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Bloody Stools in the Emergency Room: Cefdinir-Induced Red Stools in a 7-Month-Old Male.急诊室的血便:头孢地尼致一名7个月大男性患儿出现红色粪便
Cureus. 2024 Sep 7;16(9):e68887. doi: 10.7759/cureus.68887. eCollection 2024 Sep.
2
Emergent "Bloody Diarrhea" Associated with the Use of Oral Cefdinir in Young Children: A Brief Report and Review of Literature.幼儿口服头孢地尼致紧急“血样腹泻”:简要报告及文献复习。
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Cefdinir associated bloody stool in Riyadh infant: A case report.利雅得一名婴儿出现与头孢地尼相关的便血:病例报告。
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Cefdinir-induced red stool and purple discoloration of nutritional formula: A case report.头孢地尼致红色粪便和营养配方紫色变色:一例报告。
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本文引用的文献

1
Bloody Stool: Is It Really Scary in Kids? Four Benign Cases.血便:儿童真的有那么可怕吗?四个良性案例。
Arch Iran Med. 2022 Dec 1;25(12):841-843. doi: 10.34172/aim.2022.130.
2
Emergent "Bloody Diarrhea" Associated with the Use of Oral Cefdinir in Young Children: A Brief Report and Review of Literature.幼儿口服头孢地尼致紧急“血样腹泻”:简要报告及文献复习。
J Emerg Med. 2023 Feb;64(2):220-223. doi: 10.1016/j.jemermed.2022.12.026. Epub 2023 Feb 22.
3
Cefdinir-Associated "Bloody Stools": No Need to Scope.
Pediatr Emerg Care. 2021 Jul 1;37(7):e421. doi: 10.1097/PEC.0000000000002478.
4
Cefdinir associated bloody stool in Riyadh infant: A case report.利雅得一名婴儿出现与头孢地尼相关的便血:病例报告。
J Family Med Prim Care. 2020 Jun 30;9(6):3162-3164. doi: 10.4103/jfmpc.jfmpc_505_20. eCollection 2020 Jun.
5
Cefdinir-induced red stool and purple discoloration of nutritional formula: A case report.头孢地尼致红色粪便和营养配方紫色变色:一例报告。
J Infect Chemother. 2020 Feb;26(2):286-288. doi: 10.1016/j.jiac.2019.08.014. Epub 2019 Sep 20.
6
Eliminating In-Hospital Fecal Occult Blood Testing: Our Experience with Disinvestment.取消住院患者粪便潜血检测:我们的撤资经验。
Am J Med. 2018 Jul;131(7):760-763. doi: 10.1016/j.amjmed.2018.03.002. Epub 2018 Mar 27.
7
Pediatric gastrointestinal bleeding: Perspectives from the Italian Society of Pediatric Gastroenterology.小儿胃肠道出血:来自意大利小儿胃肠病学会的观点
World J Gastroenterol. 2017 Feb 28;23(8):1328-1337. doi: 10.3748/wjg.v23.i8.1328.
8
Acute bloody diarrhea: a medical emergency for patients of all ages.急性血性腹泻:各年龄段患者的医疗急症。
Gastroenterology. 2009 May;136(6):1887-98. doi: 10.1053/j.gastro.2009.02.059. Epub 2009 May 7.
9
Cefdinir-associated "bloody stools" in an infant.一名婴儿中与头孢地尼相关的“血便”
J Am Board Fam Med. 2008 May-Jun;21(3):246-8. doi: 10.3122/jabfm.2008.03.070242.
10
Nonbloody, red stools from coadministration of cefdinir and iron-supplemented infant formulas.头孢地尼与铁强化婴儿配方奶粉共同服用导致非血性红色粪便。
Pharmacotherapy. 2008 May;28(5):678-81. doi: 10.1592/phco.28.5.678.

急诊室的血便:头孢地尼致一名7个月大男性患儿出现红色粪便

Bloody Stools in the Emergency Room: Cefdinir-Induced Red Stools in a 7-Month-Old Male.

作者信息

Shammout Ali, Pazderka Philip

机构信息

Emergency Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.

出版信息

Cureus. 2024 Sep 7;16(9):e68887. doi: 10.7759/cureus.68887. eCollection 2024 Sep.

DOI:10.7759/cureus.68887
PMID:39268019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11392395/
Abstract

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.

摘要

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。