内镜干预与抗生素控制罕见便血病例

Mckey Remy, Akiki Laura, Hallal Marwa
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引用次数: 0

摘要

背景:下消化道出血可导致危及生命的疾病,特别是在有多种合并症的老年人中。虽然一些传染性结肠炎可引起血性腹泻,但通常出血量很少,不需要内镜干预。病例介绍:在本报告中,我们报告了一例64岁的黎巴嫩女性,她患有多种合并症,包括血液透析时肾功能衰竭、高血压和化疗时多发性骨髓瘤,她因艰难梭菌感染引起的抗生素相关性结肠炎而出现急性下消化道出血。结论:因此,我们应该警惕感染性结肠炎作为免疫抑制个体和有多种合并症的老年人消化道出血的原因。
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Unusual Case of Hematochezia Controlled by Endoscopic Intervention and Antibiotics
Background: Lower gastrointestinal bleeding can cause a life-threatening condition especially in the elderly with multiple comorbidities. Whilst some infectious colitis can cause bloody diarrhea, usually the blood loss is minimal and does not require an endoscopic intervention. Case Presentation: In this report, we present a case of a 64-year-old Lebanese female with multiple comorbidities including renal failure on hemodialysis, hypertension and multiple myeloma on chemotherapy who presented for an acute episode of lower GI bleeding as a result of an antibiotic associated colitis by clostridium difficile infection. Conclusion: Therefore, we should be vigilant about infectious colitis as a cause of GI bleeding in the immunosuppressed individuals and elderly with multiple comorbidities.
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