Document Detail


Pig-bel but no pig: enteritis necroticans acquired in Australia.
MedLine Citation:
PMID:  2067439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of enteritis necroticans acquired in Australia, and to review the history, epidemiology, pathogenesis, clinical features, management and prevention of this disease. CLINICAL FEATURES: A 44-year-old diabetic and alcoholic restaurateur of Chinese-Malay origin, who had been living in Australia for over 20 years, was admitted to hospital with bloody diarrhoea which progressed to fulminant toxaemia and circulatory collapse, and ultimately required laparotomy. Typical pathological features and the isolation of Clostridium perfringens type C from faeces confirmed the diagnosis of enteritis necroticans. INTERVENTION AND OUTCOME: He was treated initially with ampicillin, gentamicin, metronidazole and chloramphenicol, and later with penicillin and metronidazole, and he required large volumes of intravenously administered fluid and blood for his toxaemic, hypotensive state. Laparotomy was performed as a life-saving procedure. Despite a lengthy convalescence, the patient recovered. CONCLUSIONS: Enteritis necroticans is a rare disease in developed countries, however it is likely to be underdiagnosed. Clinicians are encouraged to be on the alert for signs of severity that may indicate the need for laparotomy in a predisposed individual with features of this condition.
Authors:
D A Watson; J H Andrew; S Banting; J R Mackay; R G Stillwell; M Merrett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  155     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-08-15     Completed Date:  1991-08-15     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  47-50     Citation Subset:  IM    
Affiliation:
St Vincent's Hospital, Fitzroy, VIC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents
Australia
China / ethnology
Clostridium Infections* / diagnosis
Clostridium perfringens*
Drug Therapy, Combination / therapeutic use
Enteritis / diagnosis,  microbiology*,  pathology,  therapy
Feces / microbiology
Humans
Intestinal Mucosa / pathology
Intestine, Small / pathology,  surgery
Malaysia / ethnology
Male
Necrosis
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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


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