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Intestinal Research 2005;3(1):80-84.
Published online June 30, 2005.
A Case of Pseudomembranous Colitis Representing Atypical Symptoms without Watery Diarrhea
Hoon Sup Koo, Kyu Chan Huh, Seung Hyun Jeong, Young Moon Kim, Sun Moon Kim, Tae Hee Lee, Euyi Hyeog Im, Young Woo Choi, Young Woo Kang
Department of Internal Medicine, Konyang University College of Medicine, Daejon, Korea
수양성 설사 없이 비전형적 증상으로 발현된 위막성 대장염 1예
구훈섭, 허규찬, 정승현, 김용문, 김선문, 이태희, 임의혁, 최용우, 강영우
건양대학교 의과대학 내과학교실
Abstract
In recent days, it is not uncommon to see the occurrence of pseudomembranous colitis which is caused by the use of antibiotics. The symptoms of pseudomembranous colitis vary from asymptomatic to fulminant toxic colitis. However, its typical symptom is watery diarrhea followed by abdominal pain, fever, and hypoalbuminemia. Abdominal distension by ascites without watery diarrhea has been rarely reported in the course of antibiotics-induced pseudomembranous colitis. We experienced a 70-year-old patient who presented with the symptoms of abdominal distension by ascites, abdominal discomfort and pitting edema of lower leg after antibiotic treatment for pneumonia. Because of high level of CEA in both ascites and serum, we suspected hidden malignancy. Special studies including CT scan were done, but we failed to find any malignancies. The patient was diagnosed with pseudomembranous colitis after colonoscopy and tissue biopsy. All symptoms disappeared and the CEA value returned to normal after conservative therapy and oral metronidazole treatment. (Intest Res 2005;3:80-84)
Key Words: Pseudomembranous colitis, Ascites
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