J Korean Geriatr Soc.  2012 Mar;16(1):34-38. 10.4235/jkgs.2012.16.1.34.

A Case of Pseudomembranous Colitis in Old Age which was Misdiagnosed as Acute Appendicitis with Perforation

Affiliations
  • 1Department of Internal Medicine, Dong-eui Medical Center, Busan, Korea. wisroh@naver.com

Abstract

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.

Keyword

Pseudomembranous colitis; Acute appendicitis; Old age

MeSH Terms

Abdominal Pain
Anti-Bacterial Agents
Appendicitis
Diarrhea
Enterocolitis, Pseudomembranous
Fever
Humans
Hypoalbuminemia
Hypovolemia
Anti-Bacterial Agents
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