Visible mucosal changes of pseudomembranous colitis in a sigmoid colostomy

Hamai et al discuss the case study of an 82-year-old man who was receiving palliative home care for acute myelogenous leukemia. He had a sigmoid colostomy because of rectal cancer. Two weeks previously, he had received piperacillintazobactam for 7 days for cellulitis. They noticed stomal swelling, w...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2023-01, Vol.195 (2), p.E82-E82
Main Authors: Hamai, Ayano, Harada, Yukinori, Sogi, Misa
Format: Article
Language:English
Subjects:
Antigens
Case reports
Colitis
Colorectal cancer
Colostomy
Cytomegalovirus
Cytomegalovirus infections
Diarrhea
Dosage and administration
Enterocolitis, Pseudomembranous - drug therapy
Humans
Infections
Inflammatory bowel disease
Metronidazole
Microorganisms
Mucous Membrane
Ostomy
Palliative treatment
Patient outcomes
Services
Tazobactam
Vancomycin
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Summary:Hamai et al discuss the case study of an 82-year-old man who was receiving palliative home care for acute myelogenous leukemia. He had a sigmoid colostomy because of rectal cancer. Two weeks previously, he had received piperacillintazobactam for 7 days for cellulitis. They noticed stomal swelling, with irregularly distributed white-to-yellow spots, however, he was otherwise asymptomatic. Suspecting a candida or cytomegalovirus infection, they swabbed the spots; microscopic examination showed neutrophils and histiocytes without microorganisms.
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.221084