Pseudomembranous enterocolitis. Resurgence related to newer antibiotic therapy

E. B. Keeffe, Ronald Katon, T. T. Chan, C. S. Melnyk, J. A. Benson

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Six patients with pseudomembranous entercolitis were seen at one institution over a 6 mth period. Clindamycin therapy preceded the diagnosis in all 6 patients and possibly caused the disease in 5 cases. Common clinical features included diarrhea, abdominal pain, fever, leukocytosis, radiographic findings of large bowel dilatation with mucosal thickening and a characteristic sigmoidoscopic or gross pathologic demonstration of discrete yellow white plaques on an otherwise normal mucosa. Complications included toxic megacolon and sigmoid colon perforation. Two of 6 patients died. The literature since 1970 is tabulated to clarify the clinical and pathological features of pseudomembranous enterocolitis associated with newer antibiotic therapy. Lincomycin and clindamycin are strongly inplicated in the recent resurgence of this formerly rare variety of colitis.

Original languageEnglish (US)
Pages (from-to)462-472
Number of pages11
JournalWestern Journal of Medicine
Volume121
Issue number6
StatePublished - 1974

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Pseudomembranous Enterocolitis
Clindamycin
Anti-Bacterial Agents
Toxic Megacolon
Lincomycin
Leukocytosis
Sigmoid Colon
Colitis
Abdominal Pain
Dilatation
Diarrhea
Mucous Membrane
Fever
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Keeffe, E. B., Katon, R., Chan, T. T., Melnyk, C. S., & Benson, J. A. (1974). Pseudomembranous enterocolitis. Resurgence related to newer antibiotic therapy. Western Journal of Medicine, 121(6), 462-472.

Pseudomembranous enterocolitis. Resurgence related to newer antibiotic therapy. / Keeffe, E. B.; Katon, Ronald; Chan, T. T.; Melnyk, C. S.; Benson, J. A.

In: Western Journal of Medicine, Vol. 121, No. 6, 1974, p. 462-472.

Research output: Contribution to journalArticle

Keeffe, EB, Katon, R, Chan, TT, Melnyk, CS & Benson, JA 1974, 'Pseudomembranous enterocolitis. Resurgence related to newer antibiotic therapy', Western Journal of Medicine, vol. 121, no. 6, pp. 462-472.
Keeffe, E. B. ; Katon, Ronald ; Chan, T. T. ; Melnyk, C. S. ; Benson, J. A. / Pseudomembranous enterocolitis. Resurgence related to newer antibiotic therapy. In: Western Journal of Medicine. 1974 ; Vol. 121, No. 6. pp. 462-472.
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