| 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 |
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|
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
Yamaguchi, Takeshi
Yuasa, Naoki
Yoshihara, Shigemi
|
| 著者所属 |
|
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Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
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Divison of Pediatric Surgery, Surgical Oncology Graduate School of Medicine, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
|
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Department of Pediatrics, Dokkyo Medical University, Tochigi, Japan |
| 著者所属 |
|
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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 |
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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 |
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Case Report |
| 出版者 |
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出版者 |
Dokkyo Medical Society |
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2436-522X |
| DOI |
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|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.51040/dkmj.2022-040 |
DKMJ-1-3-Fujita2-Fulltext (118.0 kB)
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