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[Granulated Proctosigmoiditis by Antibiotic-associated Infection with Pseudomonas Aeruginosa].
Granulierende Proktosigmoiditis durch Antibiotika-assoziierte Pseudomonaden-Infektion.
HISTORY AND ADMISSION FINDINGS: We report on the case of an elderly patient with persisting diarrhea. Few weeks previous of admission the patient had received antibiotic therapy because of respiratory infection. On admission he seemed exsiccated and feeble.
EXAMINATIONS: Macroscopic findings in colonoscopy showed proctosigmoiditis and membranous exsudations. Stool culture provided the evidence for an antibiotic-associated infection with pseudomonas aeruginosa.
TREATMENT AND COURSE: The recommended oral therapy with ciprofloxacin proved to be effective.
CONCLUSION: Complications with elderly patients are multimorbidity and diarrhea-induced prerenal failure. Frail patients can react strongly to antibiotic therapy with enteritis and dysbacteriosis.
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