急诊室里的血便:一名7个月大的男性因头孢地尼引起的红色大便。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-09-07 eCollection Date: 2024-09-01 DOI:10.7759/cureus.68887
Ali Shammout, Philip Pazderka
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引用次数: 0

摘要

本病例报告的患儿是一名 7 个月大的男婴,因大便呈红色而被送入急诊室,起初让人担心患上了严重的胃肠道疾病。该患儿曾有牛奶蛋白过敏和湿疹病史,最近因中耳炎服用了头孢地尼,还食用了含铁的水解配方奶粉。尽管最初发现白细胞计数升高、轻度贫血和高钾血症,但粪便血球检查呈阴性。阴性血红蛋白-球蛋白检测结果显示,可能的诊断依据是头孢地尼引起的大便变色,这是补充铁剂时出现的一种良性副作用。停用头孢地尼后,经儿科医生随访,患者的症状完全消失。头孢地尼引起的红色粪便变色是一种罕见情况,在婴儿出现良性 "血便 "时必须考虑这种情况。
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Bloody Stools in the Emergency Room: Cefdinir-Induced Red Stools in a 7-Month-Old Male.

This case report presents a 7-month-old male who was admitted to the emergency room with red-colored stools, initially raising concerns for serious gastrointestinal issues. The child, who had a history of milk protein allergy and eczema, had recently been prescribed cefdinir for an ear infection and was also consuming a hydrolyzed formula containing iron. Despite initial findings of elevated white blood cell count, mild anemia, and hyperkalemia, a stool heme-occult test was negative. The negative heme-occult lead to the consideration of cefdinir-induced stool discoloration as a possible diagnosis, a benign side effect that occurs in the presence of iron supplementation. Following the discontinuation of cefdinir, the patient's symptoms resolved completely on follow up with his pediatrician. A rare occurrence, cefdinir-induced red stool discoloration must be considered in cases of benign appearing infants with "bloody" stools.

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