title: [A case of pseudomembranous colitis concomitant with toxic megacolon and paralytic ileus].
abstract: A 60-year-old man was diagnosed as pseudomembranous colitis with chief complaint of fever and abdominal distension after a cerebral operation. It was ineffective although vancomycin hydrochloride (VCM) was given orally. Complications occurred. The patient had toxic megacolon and paralytic ileus. VCM was administrated via an ileus tube. In addition, the bowel was lavaged and VCM was sprayed by colonoscopy. This therapy was very effective. Generally, a patient with pseudomembranous colitis concomitant with toxic megacolon or/and paralytic ileus is considered to have a poor prognosis, however, he completely recovered by a combination of medical treatment.
authors.affiliation: Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Japan. aokitakaya0907@yahoo.co.jp
authors.forename: Takaya
authors.initials: T
authors.lastname: Aoki
authors.forename: Mikinori
authors.initials: M
authors.lastname: Kataoka
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Sou
authors.forename: Sakiko
authors.initials: S
authors.lastname: Naitou
authors.forename: Mami
authors.initials: M
authors.lastname: Takeuchi
authors.forename: Yuichirou
authors.initials: Y
authors.lastname: Tsuji
authors.forename: Asuka
authors.initials: A
authors.lastname: Harada
authors.forename: Hiroko
authors.initials: H
authors.lastname: Sugimoto
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Hayama
authors.forename: Kei
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Masaya
authors.initials: M
authors.lastname: Nonaka
authors.forename: Kenji
authors.initials: K
authors.lastname: Yagi
authors.forename: Mari
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Fukuzawa
authors.forename: Kouhei
authors.initials: K
authors.lastname: Kawakami
authors.forename: Takashi
authors.initials: T
authors.lastname: Kawai
authors.forename: Fuminori
authors.initials: F
authors.lastname: Moriyasu
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004761:Enterocolitis, Pseudomembranous / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000150:complications*; D008297:Male; D008532:Megacolon, Toxic / Q000150:complications*; D008875:Middle Aged; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin