Korean J Gastrointest Endosc > Volume 9(2); 1989 > Article

Korean Journal of Gastrointestinal Endoscopy 1989;9(2): 221-226.

Clostridium 배양검사로 확진된 위막성대장염 4예 ( 4 Cases of Pseudomembranous Colitis Confirmed by Clostridium Culture )

이남민, 원종호, 이문성, 김진홍, 조성원, 심찬섭 (Nam Min Lee, Jong Ho Won, Moon Sung Lee, Jin Hong Kim, Sung Won Cho and Chan Sup Shim)

Abstract

Diarrhea is a common complication of antibiotics usage. The diarrhea ascribed to antibiotics usually consist of loose or watery stools, sometimes containing mucus but rarely grossly evident blood. Almost every antibiotics has been implicated, although cases related to the use of vancomycin or aminoglycosides are rare. Although the pathogenesis of antibiotics-associated diarrhea is not confirmed, recent studies have shown that a toxin of clostridium difficile is implicated as a cause of it. Diagnosis is made by detecting toxin in the stool or stool culture for C.difficile. Treatment is either directed at binding the toxin with anion exchange resins such as cholestyramine in mild case, or at eradicating the C.difficile organism with vancomycin, metronidazole or bacitracin for more severe cases. (continue...)