Korean J Gastrointest Endosc > Volume 37(3); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(3): 227-230.
복막투석 환자의 복막염 치료 중 발생한 위막성 장염에 병발한 단백상실성 장병증 1예
권균홍ㆍ허동ㆍ이현승ㆍ조용건ㆍ김봉진ㆍ김지연ㆍ배용목
부산대동병원 내과
A Case of Protein Loosing Enteropathy Associated with Pseudomembranous Colitis in a Patient with Peritonitis
Gyoun Hong Kwon, M.D., Dong Heo, M.D., Hyun Seung Lee, M.D., Yong Gun Jo, M.D., Bong Jin Kim, M.D., Jee Yeon Kim, M.D. and Yong Mock Bae, M.D.
Department of Internal Medicine, Dae Dong Hospital, Busan, Korea
Abstract
Pseudomembranous colitis can be induced by the therapeutic or prophylactic use of antibiotics, and antibiotics- induced colitis has become a severe clinical problem. Protein‐loosing enteropathy is associated with an abnormal, excessive loss of serum proteins into the gastrointestinal tract, and this leads to hypoproteinemia, including hypoalbuminemia, edema and diarrhea. We present here a case of protein‐loosing enteropathy that was induced by pseudomembranous colitis, and this was induced by the use of antibiotics. Patients with chronic renal disease and peritonitis show hypoalbuminemia and edema. We experienced a patient who displayed edema, hypoalbuminemia, diarrhea and a fever for several days after the use for antibiotics for treating his peritonitis. We made the diagnosis of protein-loosing enteropathy complicated by psuedomembranous colitis. In a patient with peritonitis, uncontrolled edema and diarrhea, and the patient's hypoalbuminemia is continued, we must consider the possibility that the patient has protein-loosing enteropathy, and we should examine the total protein level and the Ձ1‐antitrypsin clearance. (Korean J Gastrointest Endosc 2008; 37:227-230)
Key Words: Pseudomembranous colitis, Protein‐loosing enteropathies, Peritonitis, Ձ1‐antitrypsin clearance
주요어: 위막성 대장염, 단백상실성 장병증, 복막염, Ձ1‐antitrypsin 청소율
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