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KMID : 1038820180210020141
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Pediatric Gastroenterology, Hepatology & Nutrition
2018 Volume.21 No. 2 p.141 ~ p.146
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Antibiotics-Associated Hemorrhagic Colitis Caused by Klebsiella oxytoca: Two Case Reports
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Youn Young-Min
Lee Sang-Won
Cho Hyun-Hae
Park Sang-Hui
Chung Hae-Sun
Seo Jeong-Wan
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Abstract
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Nowadays, Klebsiella oxytoca is described as a causative organism for antibiotic-associated hemorrhagic colitis (AAHC). Here we report two cases of pediatric AAHC, from which K. oxytoca was cultured after starting amox-icillin-clavulanate or amoxicillin treatment. The patients developed severe abdominal pain and a large amount of bloody diarrhea. K. oxytoca was obtained in intestinal fluid culture of a boy through the colonoscopy. On the other hand, colonic tissue culture and intestinal fluid culture were negative of the other patient. K. oxytoca was detected in stool culture when he was admitted. These cases showed characteristic endoscopic findings of segmental hemor-rhagic colitis, and both boys recovered spontaneously within 2-3 days after they stopped taking the antibiotics. Therefore, in children who develop relatively large amount of bloody diarrhea after antibiotic treatment, we should consider AAHC caused by K. oxytoca.
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KEYWORD
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Antibiotic-associated diarrhea, Klebsiella oxytoca, Bloody diarrhea
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