Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Three Cases of Pseudomembranous Colitis with Hematochezia

혈변을 동반한 위막성 대장염 3예

  • Published : 2011.06.30
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Abstract

Clostridium difficile is the most common nosocomial pathogen of the gastrointestinal tract. Pseudomembranous colitis occurs as a result of a severe inflammatory response to Clostridium difficile toxins. Pseudomembranous colitis is an increasingly frequent cause of morbidity and mortality among elderly hospitalized patients. Diarrhea is the most common manifestation. According to the literature, stools are almost never grossly bloody, and range from soft and unformed to watery or mucoid in consistency. We now report the cases of three patients with pseudomembranous colitis whose main clinical manifestation was hematochezia.

Clostridium difficile은 고령의 입원 환자들에게 위장관의 병변을 일으키는 대표적인 원내감염 균주이다. Clostridium difficile과 연관된 질병 중 가장 심한 형태로, Clostridium difficile toxin에 의한 장내의 염증반응으로 발생하는 위막성 대장염은 설사가 주 증상으로 대변은 육안적으로 거의 혈성을 띄지 않는다. 그러나 저자 등은 육안적 혈변을 주 증상으로 하는 위막성 대장염 3예를 경험하여서 문헌고찰과 함께 보고한다.

Keywords

References

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