Document Detail


Perforated pseudomembranous colitis in the breast-fed infant.
MedLine Citation:
PMID:  1501036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pseudomembranous colitis (PMC) is uncommon in the infant and complications requiring surgical intervention are rare. All prior cases have involved the direct administration of antibiotics to the child. A 2-month-old girl required bowel resection for perforation of a thickened and inflamed left colon. Findings were consistent with PMC and the stool was Clostridium difficile toxin positive. The patient was treated with vancomycin and did well. The patient's mother later admitted to self-administration of ciprofloxacin while breast-feeding her infant. Oral doses of this drug are concentrated in breast milk at levels higher than serum. Antibiotics derived from breast milk can cause complicated PMC in the infant. A directed history can establish an early diagnosis and help distinguish PMC from other more common infantile enterocolitides.
Authors:
T Harmon; G Burkhart; H Applebaum
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  27     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-09-17     Completed Date:  1992-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  744-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Kaiser Foundation Hospital, Los Angeles, CA. 90027.
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding*
Ciprofloxacin / adverse effects
Enterocolitis, Pseudomembranous / etiology*
Female
Humans
Infant
Intestinal Perforation / etiology*
Milk, Human / chemistry
Chemical
Reg. No./Substance:
85721-33-1/Ciprofloxacin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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