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Pseudomembranous Colitis After the Prophylactic Use of Clindamycin

Pseudomembranous Colitis After the Prophylactic Use of Clindamycin Abstract Clindamycin has become a popular antibiotic choice following a number of surgical procedures. Clindamycin is a semi-synthetic, wide-spectrum antibiotic derived from the parent compound, lincomycin, and was introduced because it had far fewer gastrointestinal side-effects than lincomycin. A number of verified hospitalized cases of pseudomembranous colitis associated with oral clindamycin administration have been noted in the literature.1,2 Pseudomembranous colitis can be a very severe disorder associated with prolonged disabling diarrhea, abdominal pain and cramps, fever, and occasional hematochezia. Friable, edematous mucosa with unusual yellow-white plaques can be seen on sigmoidoscopic examination. REPORT OF A CASE Recently we admitted a 40-year-old nurse to the medical service who had undergone an elective cosmetic rhinoplasty and was post-operatively placed on a regimen of 150 mg clindamycin administered orally four times a day to prevent any potential infection from a nasal pack. During the immediate postoperative period the patient developed a very vague References 1. Cohen LE, McNeill CJ, Wells RF: Clindamycin-associated colitis . JAMA 223:1379-1380, 1973.Crossref 2. Tedesco FJ, Stanley RJ, Alpers DH: Diagnostic features of clindamycin-associated pseudomembranous colitis . N Engl J Med 290:841-843, 1974.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Pseudomembranous Colitis After the Prophylactic Use of Clindamycin

Archives of Surgery , Volume 110 (10) – Oct 1, 1975

Pseudomembranous Colitis After the Prophylactic Use of Clindamycin

Abstract

Abstract Clindamycin has become a popular antibiotic choice following a number of surgical procedures. Clindamycin is a semi-synthetic, wide-spectrum antibiotic derived from the parent compound, lincomycin, and was introduced because it had far fewer gastrointestinal side-effects than lincomycin. A number of verified hospitalized cases of pseudomembranous colitis associated with oral clindamycin administration have been noted in the literature.1,2 Pseudomembranous colitis can be a very severe...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360160090018
Publisher site
See Article on Publisher Site

Abstract

Abstract Clindamycin has become a popular antibiotic choice following a number of surgical procedures. Clindamycin is a semi-synthetic, wide-spectrum antibiotic derived from the parent compound, lincomycin, and was introduced because it had far fewer gastrointestinal side-effects than lincomycin. A number of verified hospitalized cases of pseudomembranous colitis associated with oral clindamycin administration have been noted in the literature.1,2 Pseudomembranous colitis can be a very severe disorder associated with prolonged disabling diarrhea, abdominal pain and cramps, fever, and occasional hematochezia. Friable, edematous mucosa with unusual yellow-white plaques can be seen on sigmoidoscopic examination. REPORT OF A CASE Recently we admitted a 40-year-old nurse to the medical service who had undergone an elective cosmetic rhinoplasty and was post-operatively placed on a regimen of 150 mg clindamycin administered orally four times a day to prevent any potential infection from a nasal pack. During the immediate postoperative period the patient developed a very vague References 1. Cohen LE, McNeill CJ, Wells RF: Clindamycin-associated colitis . JAMA 223:1379-1380, 1973.Crossref 2. Tedesco FJ, Stanley RJ, Alpers DH: Diagnostic features of clindamycin-associated pseudomembranous colitis . N Engl J Med 290:841-843, 1974.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1975

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