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KMID : 0988920110090020139
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Intestinal Research
2011 Volume.9 No. 2 p.139 ~ p.143
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A Case of Methicillin-Resistant Staphylococcal Enterocolitis with Subsequent Development of Lymphocytic Colitis
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Bae Joong-Ho
Han Dong-Soo
Park Hye-Sun
Hyun Yil-Sik
Kim Tae-Yeob
Eun Chang-Soo
Jeon Yong-Cheol
Sohn Joo-Hyun
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Abstract
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Staphylococcus aureus (S. aureus) is occasionally a normal inhabitant of the gastrointestinal tract, and rarely considered a cause of enterocolitis. Methicillin-resistant Staphylococcal enterocolitis may cause persistent diarrhea leading to severe complications and even death, without appropriate treatment. Lymphocytic colitis (LC), a subtype of microscopic colitis, is a relatively common cause of chronic watery diarrhea. We report the case of a 73-year-old woman with profuse watery diarrhea caused by methicillin-resistant S. aureus. Soon after treatment of her enterocolitis with vancomycin the patient’s general condition and symptoms improved, although the diarrhea persisted. Through colonoscopic biopsy and immunohistochemical staining, overt LC was diagnosed, and prompt therapy with budesonide was initiated.
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KEYWORD
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Methicillin-Resistant, Staphylococcus aureus, Enterocolitis, Lymphocytic Colitis
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