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Yersinia colitis masquerading as pseudomembranous colitis
We describe a 15-month-old male who presented with fever and diarrhea 24 hr after receiving antibiotics for otitis media. A flexible sigmoidoscopy was initially interpreted endoscopically as antibiotic-associated pseudomembranous colitis, and the patient was treated with vancomycin. The diagnosis of...
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Published in: | Digestive diseases and sciences 1986-05, Vol.31 (5), p.548-551 |
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container_end_page | 551 |
container_issue | 5 |
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container_title | Digestive diseases and sciences |
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creator | BROWN, R TEDESCO, F. J ASSAD, R. T RAGHUNATHA RAO |
description | We describe a 15-month-old male who presented with fever and diarrhea 24 hr after receiving antibiotics for otitis media. A flexible sigmoidoscopy was initially interpreted endoscopically as antibiotic-associated pseudomembranous colitis, and the patient was treated with vancomycin. The diagnosis of antibiotic-associated colitis was excluded in our patient by the negative stool examination for Clostridium difficile toxin, the failure to obtain supportive features on rectal biopsy, and the failure to demonstrate sigmoidoscopic improvement with vancomycin therapy. Thirteen days later, Y. enterocolitica was cultured from the initial stool specimens. In this case, the raised central whitish area on an erythematous base was misinterpreted as pseudomembranous colitis. |
doi_str_mv | 10.1007/BF01320324 |
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In this case, the raised central whitish area on an erythematous base was misinterpreted as pseudomembranous colitis.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/BF01320324</identifier><identifier>PMID: 3698772</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Biological and medical sciences ; Colitis - diagnosis ; Colitis - pathology ; Diagnosis, Differential ; Enterocolitis, Pseudomembranous - diagnosis ; Enterocolitis, Pseudomembranous - pathology ; Human bacterial diseases ; Humans ; Infant ; Infectious diseases ; Male ; Medical sciences ; Yersinia Infections - diagnosis ; Yersinia Infections - pathology</subject><ispartof>Digestive diseases and sciences, 1986-05, Vol.31 (5), p.548-551</ispartof><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c311t-508f5d0811900a8c75c90392bc4830d832a3390bdb7ca946dc9403f441481f393</citedby><cites>FETCH-LOGICAL-c311t-508f5d0811900a8c75c90392bc4830d832a3390bdb7ca946dc9403f441481f393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7876946$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3698772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BROWN, R</creatorcontrib><creatorcontrib>TEDESCO, F. J</creatorcontrib><creatorcontrib>ASSAD, R. T</creatorcontrib><creatorcontrib>RAGHUNATHA RAO</creatorcontrib><title>Yersinia colitis masquerading as pseudomembranous colitis</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><description>We describe a 15-month-old male who presented with fever and diarrhea 24 hr after receiving antibiotics for otitis media. A flexible sigmoidoscopy was initially interpreted endoscopically as antibiotic-associated pseudomembranous colitis, and the patient was treated with vancomycin. The diagnosis of antibiotic-associated colitis was excluded in our patient by the negative stool examination for Clostridium difficile toxin, the failure to obtain supportive features on rectal biopsy, and the failure to demonstrate sigmoidoscopic improvement with vancomycin therapy. Thirteen days later, Y. enterocolitica was cultured from the initial stool specimens. In this case, the raised central whitish area on an erythematous base was misinterpreted as pseudomembranous colitis.</description><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Colitis - diagnosis</subject><subject>Colitis - pathology</subject><subject>Diagnosis, Differential</subject><subject>Enterocolitis, Pseudomembranous - diagnosis</subject><subject>Enterocolitis, Pseudomembranous - pathology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Yersinia Infections - diagnosis</subject><subject>Yersinia Infections - pathology</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><recordid>eNpFkL1LxEAQxRdRzvO0sRdSiIUQnckk-1Hq4alwYKOFVdhsNrKSj3P3Uvjfu3LxrObB-_F48xg7R7hBAHF7vwKkDCjLD9gcC0FpVnB5yOaAPGpEfsxOQvgEACWQz9iMuJJCZHOm3q0Prnc6MUPrti4knQ5fo_W6dv1HokOyCXash852ldf9MIY_8JQdNboN9my6C_a2enhdPqXrl8fn5d06NYS4TQuQTVGDRFQAWhpRGAWkssrkkqCWlGkiBVVdCaNVzmujcqAmzzGX2JCiBbva5W78EIuFbdm5YGzb6t7GOqXgQiFJiOD1DjR-CMHbptx412n_XSKUvzuV_ztF-GJKHavO1nt0Gib6l5Ovg9FtE383LuwxIQWPZekHmX9toQ</recordid><startdate>19860501</startdate><enddate>19860501</enddate><creator>BROWN, R</creator><creator>TEDESCO, F. 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J</creatorcontrib><creatorcontrib>ASSAD, R. T</creatorcontrib><creatorcontrib>RAGHUNATHA RAO</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BROWN, R</au><au>TEDESCO, F. J</au><au>ASSAD, R. 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The diagnosis of antibiotic-associated colitis was excluded in our patient by the negative stool examination for Clostridium difficile toxin, the failure to obtain supportive features on rectal biopsy, and the failure to demonstrate sigmoidoscopic improvement with vancomycin therapy. Thirteen days later, Y. enterocolitica was cultured from the initial stool specimens. In this case, the raised central whitish area on an erythematous base was misinterpreted as pseudomembranous colitis.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>3698772</pmid><doi>10.1007/BF01320324</doi><tpages>4</tpages></addata></record> |
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subjects | Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Colitis - diagnosis Colitis - pathology Diagnosis, Differential Enterocolitis, Pseudomembranous - diagnosis Enterocolitis, Pseudomembranous - pathology Human bacterial diseases Humans Infant Infectious diseases Male Medical sciences Yersinia Infections - diagnosis Yersinia Infections - pathology |
title | Yersinia colitis masquerading as pseudomembranous colitis |
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