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Antibiotics-associated hemorrhagic colitis caused by Klebsiella oxytoca: Two case reports

Title
Antibiotics-associated hemorrhagic colitis caused by Klebsiella oxytoca: Two case reports
Authors
Youn Y.Lee S.W.Cho H.-H.Park S.Chung H.-S.Seo J.W.
Ewha Authors
서정완박상희정혜선조현혜
SCOPUS Author ID
서정완scopus; 박상희scopus; 정혜선scopus
Issue Date
2018
Journal Title
Pediatric Gastroenterology, Hepatology and Nutrition
ISSN
2234-8646JCR Link
Citation
Pediatric Gastroenterology, Hepatology and Nutrition vol. 21, no. 2, pp. 141 - 146
Keywords
Antibiotic-associated diarrheaBloody diarrheaKlebsiella oxytoca
Publisher
Korean Society of Pediartic Gastroenterology, Hepatology and Nutrition
Indexed
SCOPUS; KCI scopus
Document Type
Article
Abstract
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 amoxicillin- 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 hemorrhagic 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. © 2018 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition.
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DOI
10.5223/pghn.2018.21.2.141
Appears in Collections:
의과대학 > 의학과 > Journal papers
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