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[Granulated Proctosigmoiditis by Antibiotic-associated Infection with Pseudomonas Aeruginosa]

Philipp Kapp1,2, Wolfgang Meier2, Roland Reinehr2

  • 1Kreisklinik Groß-Umstadt.

Deutsche Medizinische Wochenschrift (1946)
|January 24, 2018
PubMed
Abstract

Insights

Elderly patients experiencing persistent diarrhea after antibiotic treatment may have Clostridioides difficile infection. Prompt diagnosis and targeted therapy, such as with ciprofloxacin, are crucial for recovery.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Geriatrics

Background:

  • Antibiotic therapy can disrupt the gut microbiome, leading to opportunistic infections.
  • Elderly patients are particularly vulnerable to complications from dysbacteriosis.

Observation:

  • A case of an elderly patient presenting with persistent diarrhea following antibiotic treatment for a respiratory infection.
  • Colonoscopy revealed proctosigmoiditis with membranous exudations.
  • Stool culture confirmed an antibiotic-associated infection caused by Pseudomonas aeruginosa.

Findings:

  • Pseudomonas aeruginosa identified as the causative agent of antibiotic-associated diarrhea.
  • Oral ciprofloxacin therapy demonstrated effectiveness in treating the infection.

Implications:

  • Highlights the risk of antibiotic-associated infections in the elderly.
  • Emphasizes the importance of considering dysbacteriosis and secondary infections in elderly patients with persistent diarrhea post-antibiotics.
  • Ciprofloxacin can be an effective treatment option for Pseudomonas aeruginosa-induced enteritis.

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