抗菌薬投与による偽膜性大腸炎から敗血症性ショックを起こした下顎骨骨折の1例 A case of mandibular fracture complicated by septic shock due to pseudomembranous colitis caused by antibacterial treatment

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Pseudomembranous colitis is mainly caused by microbial substitution due to antibacterial medication. We encountered a case of mandibular fracture complicated by septic shock due to pseudomembranous colitis, which followed a fatal course. The patient was a 78-year-old woman who was receiving medication for Parkinson's disease. The patient fell and sustained laceration of the mental region and a mandibular fracture. She was treated by our department and underwent suturing and maxillo-mandibular fixation. A hematoma developed in the floor of the mouth, and the CRP level was 5.0mg/dl. Although the antibiotic cefcapene pivoxil hydrochloride (CFPNPI) was prescribed, both the CRP level and peripheral WBC count increased 1 week later. Therefore, the antibiotic was switched to panipenem/betamipron (PAPM/BP), and the response was monitored. The patient complained of severe diarrhea 2 days after changing the antibiotic. Then, septic shock developed suddenly. Intensive medical treatment was performed, but the disease could not be controlled. The patient died the day after the onset of diarrhea.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 53(2), 74-77, 2007-02-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018858366
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8722349
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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