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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