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- Title
A patient who survived total colonic type ulcerative colitis complicated by toxic megacolon, disseminated intravascular coagulation, methicillin-resistant Staphylococcus aureus infection and bilateral femoral phlebothrombosis.
- Authors
Arai, Hajime; Hanai, Hiroyuki; Furuta, Takahisa; Sato, Yoshihiko; Yamada, Masami; Kaneko, Eizo; Baba, Shozo; Sugimura, Haruhiko; Arai, H; Hanai, H; Furuta, T; Sato, Y; Yamada, M; Kaneko, E; Baba, S; Sugimura, H
- Abstract
We report a patient who survived total colonic type ulcerative colitis (UC) complicated by toxic megacolon (TM), disseminated intravascular coagulation (DIC), methicillin-resistant Staphylococcus aureus infection, and phlebothrombosis. A 69-year-old man was treated for about 4 months under the diagnosis of ischemic colitis at another hospital, and was transferred to our hospital. Based on endoscopic and pathological findings, we strongly suspected UC, and administered salazosulfapyridine and methylprednisolone, but TM and DIC developed, necessitating urgent subtotal colectomy. Despite his elderly age and the severe complications, he recovered and was discharged from our hospital about 4 months after admission. The mortality rate of UC complicated by TM and DIC in elderly patients is high, necessitating rapid initiation of high-dose steroid administration or surgical treatment.
- Subjects
ULCERATIVE colitis; MEGACOLON; DISSEMINATED intravascular coagulation; VENOUS thrombosis diagnosis; ULCERATIVE colitis diagnosis; MEGACOLON treatment; COLECTOMY; FEMORAL vein; LONGITUDINAL method; METHICILLIN resistance; PROGNOSIS; STAPHYLOCOCCAL diseases; VENOUS thrombosis; TREATMENT effectiveness; DISEASE complications
- Publication
Journal of Gastroenterology, 1999, Vol 34, Issue 3, p395
- ISSN
0944-1174
- Publication type
journal article
- DOI
10.1007/s005350050282