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  1. Dokkyo Medical Journal
  2. 1(3) 2022

Clostridioides difficile Infection after Antibiotics Treatments for Acute Appendicitis in a 2-year-old Girl: A Case Report

https://dmu.repo.nii.ac.jp/records/5267
https://dmu.repo.nii.ac.jp/records/5267
6a21c122-a14c-4d36-bb2c-1538def6fe6f
名前 / ファイル ライセンス アクション
DKMJ-1-3-14.pdf DKMJ-1-3-Fujita2-Fulltext (118.0 kB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Clostridioides difficile Infection after Antibiotics Treatments for Acute Appendicitis in a 2-year-old Girl: A Case Report
言語
言語 eng
キーワード
主題Scheme Other
主題 antibiotics
キーワード
主題Scheme Other
主題 appendicitis
キーワード
主題Scheme Other
主題 cefmetazole
キーワード
主題Scheme Other
主題 Clostridioides difficile infection
キーワード
主題Scheme Other
主題 diarrhea
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Fujita, Yuji

× Fujita, Yuji

en Fujita, Yuji

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Yamaguchi, Takeshi

× Yamaguchi, Takeshi

en Yamaguchi, Takeshi

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Yuasa, Naoki

× Yuasa, Naoki

en Yuasa, Naoki

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Yoshihara, Shigemi

× Yoshihara, Shigemi

en Yoshihara, Shigemi

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著者所属
Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Divison of Pediatric Surgery, Surgical Oncology Graduate School of Medicine, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 3, p. 257-259, 発行日 2022-09
抄録
内容記述タイプ Abstract
内容記述 Clostridioides difficile infection (CDI) is an intestinal infection caused by intestinal dysbiosis due to exposure to antibiotics. We describe the case of a 2-year-old girl who developed CDI after antibiotic treatment for acute appendicitis. She presented to our hospital with fever, abdominal pain, and frequent diarrhea. She was diagnosed with acute appendicitis following abdominal contrast-enhanced computed tomography and was treated with cefmetazole for 5 days. Eight days after discontinuation of cefmetazole treatment, she experienced abdominal pain, associated with the passage of loose stools. Abdominal ultrasonography revealed no swelling of the appendix. Both the Clostridium difficile antigen and toxin tests were positive. She was diagnosed with CDI due to her recent antibiotic treatment for acute appendicitis. Intravenous metronidazole (30 mg/kg/day) and probiotics were administered for 10 days. Her abdominal pain improved gradually and did not recur after discontinuation of metronidazole. The increasing global prevalence of CDI in low-risk populations and children necessitates its consideration in both pediatric patients, and even children without preceding underlying disease. There have been no reports on the development of CDI in patients receiving antibiotic treatment for appendicitis. If gastrointestinal symptoms relapse after an antibiotics treatment for acute appendicitis, CDI should be considered while investigating for possible relapse of appendicitis.
記事種別
Case Report
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-522X
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.2022-040
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