title: [A Serious Case of Pseudomembranous Colitis in which Treatment with Endoscopic Vancomycin Sprinkling Got a Good Result].
abstract: We report herein on a 71-year-old man who developed pseudomembranous colitis (PMC). He was treated with oral metronidazole and vancomycin prescription, but deteriorated, and developed a toxic megacolon. Under paralytic ileus condition, per os and enema treatment efficacy was thought to be limited. Sprinkling with vancomycin via colonoscopy was therefore performed, resulting in therapeutic success. Additionally, participation in infection control should be carried out with severe PMC cases like this.
authors.forename: Rinne
authors.initials: R
authors.lastname: Takeda
authors.forename: Tsunehisa
authors.initials: T
authors.lastname: Koga
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Ishimaru
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Sawayama
mesh_terms: D000368:Aged; D003113:Colonoscopy; D004761:Enterocolitis, Pseudomembranous / Q000188:drug therapy*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage*
chemical_list: D014640:Vancomycin