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

Citation
H. Arai et al., 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, J GASTRO, 34(3), 1999, pp. 395-399
Citations number
8
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology
Journal title
JOURNAL OF GASTROENTEROLOGY
ISSN journal
0944-1174 → ACNP
Volume
34
Issue
3
Year of publication
1999
Pages
395 - 399
Database
ISI
SICI code
0944-1174(199906)34:3<395:APWSTC>2.0.ZU;2-1
Abstract
We report a patient who survived total colonic type ulcerative colitis (UC) complicated by toxic megacolon (TM), disseminated intravascular coagulatio n (DIC), methicillin- resistant Staphylococcus aureus infection, and phlebo thrombosis, A 69-year-old man was treated for about 4 months under the diag nosis of ischemic colitis at another hospital, and was transferred to our h ospital. Based on endoscopic and pathological findings, we strongly suspect ed UC, and administered salazosulfapyridine and methylprednisolone, but TM and DIC developed, necessitating urgent subtotal colectomy. Despite his eld erly age and the severe complications, he recovered and was discharged from our hospital about 4 months after admission. The mortality rate of UC comp licated by TM and DIC in elderly patients is high, necessitating rapid init iation of high-dose steroid administration or surgical treatment.