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Postpolypectomy fever in patients with serious infection: a report of two cases

Wang Jing1, Li Qinghua1, Yang Zhiwen2

  • 1Department of Gastroenterology, Songjiang District Central Hospital, Shanghai, China.

BMC Gastroenterology
|March 30, 2022
PubMed
Abstract

Insights

Postpolypectomy fever (PPF) can cause severe infections, contrary to its usual mild presentation. This case highlights the importance of recognizing serious PPF complications after colonoscopy.

Area of Science:

  • Gastroenterology
  • Infectious Disease

Background:

  • Postpolypectomy fever (PPF) is a rare complication following colonoscopy.
  • PPF typically presents with mild symptoms and a good prognosis due to the absence of perforation evidence.

Observation:

  • Two patients developed severe infections without clear fever sources after colonoscopic polypectomy.
  • One patient experienced acute respiratory failure and liver dysfunction attributed to colonoscopy-associated infection.

Findings:

  • The study identified serious, life-threatening complications in patients with postpolypectomy fever.
  • Prompt antibiotic treatment led to successful recovery for both affected patients.

Implications:

  • This study emphasizes the potential for severe outcomes in PPF, challenging the notion of its uniformly mild course.
  • Clinicians should be vigilant for severe infections in patients presenting with PPF after colonoscopy.
Keywords:
DiagnosePatientPostpolypectomy feverSerious infectionTherapy

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