Difficulties in diagnosing antibiotic-associated diarrhea using a clinical case example
DOI:
https://doi.org/10.14739/2310-1210.2023.5.283350Keywords:
diarrhea, pseudomembranous colitis, diagnosis, treatmentAbstract
Aim. To identify challenges in the diagnosis and treatment of a patient with intestinal damage due to long-term use of antibiotics.
Material and methods. The case of antibiotic-associated diarrhea in a 65-year-old patient is described and analyzed.
Results. The patient with a combined pathology of the gastrointestinal tract and cancer of the sigmoid colon developed a complication after a splenectomy – antibiotic-associated diarrhea. The clinical picture of diarrhea was complicated by the development of pseudomembranous colitis, which was masked by a leukemoid reaction and a septic process. The patient with the relapsing disease course developed multiple organ failure that resulted in a lethal outcome.
Conclusions. Diarrhea associated with Clostridia difficile caused the development of pseudomembranous colitis. At the same time, the clinical picture of the disease had a mask of a leukemoid reaction and a septic process.
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