| A Case of Pseudomembranous Colitis in Old Age which was Misdiagnosed as Acute Appendicitis with Perforation |
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Young Jin Yoon, Ji Hun Roh, Won Seok Han, Cheol Woo Park, Sung Hwan Park, Jung Ik Park, Won Wook Nam |
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Department of Internal Medicine, Dong-eui Medical Center, Busan, Korea. wisroh@naver.com |
| 급성 충수돌기염 천공으로 오인된 노인에서의 위막성 대장염 1예 |
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윤영진 · 노지훈 · 한원석 · 박철우 · 박성환 · 박정익 · 남원욱 |
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동의의료원 내과 |
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| Abstract |
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Pseudomembranous colitis is mostly related to antibiotics and it presents symptoms of diarrhea, abdominal pain, fever, hypoalbuminemia and hypovolemia. Diarrhea is the most common manifestation, but in geriatric patients, symptoms of pseudomembranous colitis can be different from those of usual cases and the course of disease can be more aggressive. For these reasons, it can be misdiagnosed. So physicians must take pseudomembranous colitis into consideration in older patients with acute abdominal pain, who have been treated with antibiotics. We reported a case of an older patient with pseudomembranous colitis which was misdiagnosed as acute appendicitis with perforation. |
| Key Words:
Pseudomembranous colitis, Acute appendicitis, Old age |
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