항생제 속발성 위막성 대장염
Antibiotic-associated Pseudomembranous Colitis
여승근, 오승준, 김우석,
소속 상세정보
여승근 ( )
경희대학교 의과대학 임상병리학교실
오승준 ( )
경희대학교 의과대학 내과학교실
김우석 ( )
경희대학교 의과대학 임상병리학교실
KMID : 0357919810150040435
Abstract
Four cases of pseudomemtranous colitis following antibiotic therapy are reported.
Special attention is focused on clinical manifestations and histologic features.
The clinical manifestation along with history is quite characteristic, if not specific,
suggesting the colonic lesions to be post-antibiotic. Colonoscopic examination is
diagnostic in four cases studied, and the lesions consist of discrete 0.2 to 2cm raised
plaques adherent to an edematous, friable mucosa.
The pathologic picture in pseudomembranous colitis is quite distinctive. The
diagnostichistological findings include a "mushroom" or "volcano" appearance of the
pseudomembrane with sudden transition to normal mucosa adjacent to the lesion.
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