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A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists

The varied clinical presentation and objective findings associated with colonic ischemia (CI) overlap with multiple disease processes. A high index of suspicion is critical for timely diagnosis and prognostication to avoid delays in treatment. We present a case that highlights the challenges of diag...

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Autores principales: Chodoff, Alaina, Whitehead, Diana, Otieno, Beryl, Fuscaldo, Joseph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Greater Baltimore Medical Center 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589005/
https://www.ncbi.nlm.nih.gov/pubmed/37868229
http://dx.doi.org/10.55729/2000-9666.1197
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author Chodoff, Alaina
Whitehead, Diana
Otieno, Beryl
Fuscaldo, Joseph
author_facet Chodoff, Alaina
Whitehead, Diana
Otieno, Beryl
Fuscaldo, Joseph
author_sort Chodoff, Alaina
collection PubMed
description The varied clinical presentation and objective findings associated with colonic ischemia (CI) overlap with multiple disease processes. A high index of suspicion is critical for timely diagnosis and prognostication to avoid delays in treatment. We present a case that highlights the challenges of diagnosing CI and the high morbidity associated with severe disease. Case report: A sixty-four-year-old female presented to our community hospital with acute onset abdominal pain, nausea, and diarrhea, complicated by septic shock. She was initially given a diagnosis of infectious colitis until a colonoscopy was performed revealing extensive pancolonic ulcerations. Histopathological features on biopsy were most consistent with colonic ischemia. Blood cultures grew Fusobacterium Necrophorum. Surgery was avoided due to the high morbidity and mortality of performing a total colectomy and ileostomy. The patient continued to struggle with abdominal pain, diarrhea, and hematochezia, consistent with continuous CI, leading to recurrent hospitalizations.
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spelling pubmed-105890052023-10-21 A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists Chodoff, Alaina Whitehead, Diana Otieno, Beryl Fuscaldo, Joseph J Community Hosp Intern Med Perspect Case Report The varied clinical presentation and objective findings associated with colonic ischemia (CI) overlap with multiple disease processes. A high index of suspicion is critical for timely diagnosis and prognostication to avoid delays in treatment. We present a case that highlights the challenges of diagnosing CI and the high morbidity associated with severe disease. Case report: A sixty-four-year-old female presented to our community hospital with acute onset abdominal pain, nausea, and diarrhea, complicated by septic shock. She was initially given a diagnosis of infectious colitis until a colonoscopy was performed revealing extensive pancolonic ulcerations. Histopathological features on biopsy were most consistent with colonic ischemia. Blood cultures grew Fusobacterium Necrophorum. Surgery was avoided due to the high morbidity and mortality of performing a total colectomy and ileostomy. The patient continued to struggle with abdominal pain, diarrhea, and hematochezia, consistent with continuous CI, leading to recurrent hospitalizations. Greater Baltimore Medical Center 2023-06-29 /pmc/articles/PMC10589005/ /pubmed/37868229 http://dx.doi.org/10.55729/2000-9666.1197 Text en © 2023 Greater Baltimore Medical Center https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ).
spellingShingle Case Report
Chodoff, Alaina
Whitehead, Diana
Otieno, Beryl
Fuscaldo, Joseph
A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists
title A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists
title_full A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists
title_fullStr A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists
title_full_unstemmed A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists
title_short A Rare Case of Pancolonic Ischemia Complicated by Fusobacterium Necrophorum Bacteremia: A Review of Colonic Ischemia for Internists
title_sort rare case of pancolonic ischemia complicated by fusobacterium necrophorum bacteremia: a review of colonic ischemia for internists
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589005/
https://www.ncbi.nlm.nih.gov/pubmed/37868229
http://dx.doi.org/10.55729/2000-9666.1197
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