[A case of pseudomembranous enterocolitis caused by methicillin-resistant Staphylococcus aureus].
A 47-year-old woman was hospitalized because of urinary-tract infection. She was treated with antibiotics for 6 days. However, severe watery diarrhea and pyrexia developed 6 days after stopping administration of antibiotics. Stool, throat and blood cultures were positive for methicillin-resistant Staphylococcus aureus (MRSA) and negative for Clostridium difficile DI toxin. In spite of administration of VCM, she died of septic shock. At autopsy, macroscopic observation revealed a pseudomembrane in the ileum. MRSA enterocolitis can occur in patients with antibiotic-related diarrhea, and physicians should be aware of its rapid clinical course and possible lethal outcome.
Fujita
Kazue
K
Department of Internal Medicine, Kawasaki Medical School, Kawasaki Hospital.
Honda
Yoshihiro
Y
Kurihara
Takeyuki
T
Ohba
Hideo
H
Okimoto
Niro
N
D015377:Cilastatin / Q000008:administration & dosage; D000077728:Cilastatin, Imipenem Drug Combination; D004338:Drug Combinations; D004761:Enterocolitis, Pseudomembranous / Q000382:microbiology*; D005260:Female; D006801:Humans; D015378:Imipenem / Q000008:administration & dosage; D016106:Methicillin Resistance; D008875:Middle Aged; D013203:Staphylococcal Infections; D013211:Staphylococcus aureus / Q000187:drug effects*; D014552:Urinary Tract Infections / Q000150:complications / Q000188:drug therapy
D004338:Drug Combinations; D015377:Cilastatin; D015378:Imipenem; D000077728:Cilastatin, Imipenem Drug Combination