title: Localized pseudomembranous colitis in the cecum and ascending colon mimicking acute appendicitis.
abstract: A 61-year-old male was admitted to our hospital due to right lower abdominal pain and watery diarrhea for 3 d. Beginning 3 wk before he arrived in our hospital, he took 3(rd)-generation cephalosporin (cefixime) for 2 wk due to chronic left ear otitis media. Colonoscopic examination revealed yellowish patches of ulcerations and swelling covered with thick serosanguineous exudate in the cecum and ascending colon. After 7 d of oral metronidazole treatment, his symptoms completely disappeared. We report a case of localized pseudomembranous colitis in the cecum and ascending colon mimicking acute appendicitis associated with cefixime.
authors.affiliation: Ju Won Chyung, Dong Gue Shin, Department of Surgery, Seoul Medical Center, Seoul 889-5, South Korea.
authors.forename: Ju Won
authors.initials: JW
authors.lastname: Chyung
authors.forename: Dong Gue
authors.initials: DG
authors.lastname: Shin
keywords: Abdomen; Acute; Appendicitis; Cefixime; Diarrhea; Enterocolitis; Pseudomembranous