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Antibiotic-associated fulminant pseudomembranous colitis without toxic megacolon
B E Herman1, J Vargo, W S Phillips
1Department of Internal Medicine, National Naval Medical Center, Bethesda, Maryland.
The American Journal of Gastroenterology
|December 1, 1992
Abstract:
Presented is a middle-aged male who developed a fulminant case of antibiotic-associated pseudomembranous colitis characterized by leukocytosis, hypoalbuminemia, ascites, and anasarca without toxic megacolon. The patient responded slowly to medical therapy consisting of intravenous metronidazole, oral vancomycin, and parenteral nutrition. Subsequently, cholestyramine was administered. A review of the literature concerning similar cases of fulminant pseudomembranous colitis is presented.