A Case of Methicillin-Resistant Staphylococcal Enterocolitis with Subsequent Development of Lymphocytic Colitis

Bae, Joong Ho; Han, Dong Soo; Park, Hye Sun; Hyun, Yil Sik; Kim, Tae Yeob; Eun, Chang Soo; Jeon, Yong Cheol; Sohn, Joo Hyun

doi:2011.9.2.139

Intest Res > Volume 9(2); 2011 > Article

Case Report

Intestinal Research 2011;9(2):139-143.
DOI: https://doi.org/10.5217/ir.2011.9.2.139 Published online August 30, 2011.

A Case of Methicillin-Resistant Staphylococcal Enterocolitis with Subsequent Development of Lymphocytic Colitis

Joong Ho Bae, Dong Soo Han, Hye Sun Park, Yil Sik Hyun, Tae Yeob Kim, Chang Soo Eun, Yong Cheol Jeon, Joo Hyun Sohn

Division of Gastroenterology, Department of Internal Medicine, Hanyang University Guri Hospital, Guri, Korea

메티실린 저항성 포도상구균 장염 후 발생한 림프구 장염 1예

배중호, 한동수, 박혜선, 현일식, 김태엽, 은창수, 전용철, 손주현

한양대학교 구리병원 소화기내과

Abstract

Staphylococcus aureus (S. aureus) is occasionally a normal inhabitant of the gastrointestinal tract, and rarely considered a cause of enterocolitis. Methicillin-resistant Staphylococcal enterocolitis may cause persistent diarrhea leading to severe complications and even death, without appropriate treatment. Lymphocytic colitis (LC), a subtype of microscopic colitis, is a relatively common cause of chronic watery diarrhea. We report the case of a 73-year-old woman with profuse watery diarrhea caused by methicillin-resistant S. aureus. Soon after treatment of her enterocolitis with vancomycin the patient's general condition and symptoms improved, although the diarrhea persisted. Through colonoscopic biopsy and immunohistochemical staining, overt LC was diagnosed, and prompt therapy with budesonide was initiated. (Intest Res 2011;9:139-143)

Key Words: Methicillin-Resistant, Staphylococcus aureus, Enterocolitis, Lymphocytic Colitis