Antibiotic-associated haemorrhagic colitis: not always .

BMJ Case Rep

Department of Internal Medicine, Presence Saint Joseph Hospital, Chicago, Illinois, USA.

Published: June 2017

Antibiotic-associated colitis is a gastrointestinal complication of antibiotic use commonly seen in hospitalised patients, with colitis being the most common type. We present a case of haemorrhagic colitis secondary to following self-initiated amoxicillin-clavulanic acid use. An 85-year-old woman presented to the emergency department with abdominal pain and mucobloody diarrhoea. History was notable for an ongoing 5-day course of amoxicillin-clavulanic acid use. The CT scan of her abdomen revealed extensive diffuse thickening of the ascending and transverse colon. Stool culture grew , an established cause of haemorrhagic colitis. She declined colonoscopy but recovered with withdrawal of all antibiotics and conservative treatment. We should be vigilant to haemorrhagic colitis following antibiotic use which is not always related.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534878PMC
http://dx.doi.org/10.1136/bcr-2017-219915DOI Listing

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