MRSA小腸・大腸炎の1例  [in Japanese] MRSA ENTERITIS AND COLITIS, REPORT OF A CASE  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

73歳男性.胸膜炎に対し,抗菌剤投与中,悪寒を伴う多量の水様下痢が出現した.腹部造影CT,内視鏡検査にて小腸,大腸に著明な炎症所見を認めた.便培養検査にてMRSA腸炎と診断し,塩酸バンコマイシンの投与を行うも,繰り返す多量の小腸出血をコントロールできず,発症から2カ月で死亡した.抗菌剤投与による菌交代現象を契機とし,急激な転帰を辿ったMRSA小腸・大腸炎を経験した.文献的考察を含め報告する.

A 73-years-old man developed severe watery diarrhea during the treatment of pleuritis with antibiotics. Computed tomography and rectosigmoid colonoscopy revealed a severe enhanced area and wall thickening in the small intestine and right-side colon. Stool culture revealed methicillin-resistant staphylococcus aureus (MRSA). We diagnosed severe MRSA enteritis and colitis, and administered vancomycin hydrochloride orally. In spite of the intensive therapy, repetitive massive intestinal bleeding and the state of disseminated intravascular coagulation could not be controlled. The patient died two months following hospitalization. With reference to the up-to-date literature, we reported on a grave case of MRSA enteritis and colitis, as a result of microbial substitution following treatment with administration of antibiotics.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 53(2), 283-289, 2011-02-20

    Japan Gastroenterological Endoscopy Society

References:  9

Codes

  • NII Article ID (NAID)
    10028052927
  • NII NACSIS-CAT ID (NCID)
    AN00192102
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    03871207
  • Data Source
    CJP  J-STAGE 
Page Top