[Treatment of a severe Clostridium difficile infection with colonic lavages. Report of one case].

Abstract:

:A loop ileostomy with intraoperative anterograde colonic lavage has been described as an alternative to colectomy in the management of cases of Clostridium difficile infection refractory to medical treatment. We report a 69 years old diabetic women admitted with a septic shock. An abdominal CAT scan showed a pan-colitis that seemed to be infectious. A polymerase chain reaction was positive for Clostridium Difficile. Due to the failure to improve after full medical treatment, a derivative loop ileostomy and intra-operatory colonic lavage were performed, leaving a Foley catheter in the proximal colon. In the postoperative period, anterograde colonic instillations of Vancomycin flushes through the catheter were performed every 6 hours. Forty eight hours after surgery, the patient improved. A colonoscopy prior to discharge showed resolution of the pseudomembranous colitis.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Quezada F,Castillo R,Villalón C,Zúñiga JM,Manterola C,Molina ME,Bellolio F,Urrejola G

doi

10.4067/S0034-98872015000500016

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

668-72

issue

5

eissn

0034-9887

issn

0717-6163

pii

S0034-98872015000500016

journal_volume

143

pub_type

杂志文章
  • [The work environment as a source of exposure to secondhand smoke: a study in workers of bars and restaurants of Santiago, Chile].

    abstract:BACKGROUND:Secondhand smoke (SHS) is an established cause of morbidity and mortality among non-smokers. The workplace is an important source of exposure, especially among workers of restaurants, bars and nightclubs. AIM:To estimate the daily occupational exposure to SHS among non-smoking workers of bars and restaurant...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872010001300007

    authors: Aceituno P,Iglesias V,Erazo M,Droppelmann A,Orellana C,Navas-Acién A

    更新日期:2010-12-01 00:00:00

  • [Addisonian crisis caused by metastatic lung cancer. Report of one case].

    abstract::Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiv...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011000900013

    authors: Utreras C,Díaz RE,Ascui R,Caro R,Véliz J,Wohllk N

    更新日期:2011-09-01 00:00:00

  • [Hemolysis, serositis and exanthema induced by Mycoplasma pneumoniae infection. Report of one case].

    abstract::Mycoplasma infections have extrapulmonary manifestations that may be associated with respiratory symptoms and may have skin, heart, gastrointestinal, rheumatologic, neurologic, hematologic involvement. Cold agglutinin mediated autoimmune hemolytic anemia is the most common hematological manifestation. We report a 27-y...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872014001000015

    authors: Mondaca P R,Pizarro C V,Cares V,Eymin G

    更新日期:2014-10-01 00:00:00

  • [Esophageal manometry in patients with non cardiac chest pain].

    abstract:BACKGROUND:Non cardiac chest pain can be caused by esophageal problems such as gastroesophageal reflux or smooth muscle motor disorders. AIM:To perform esophageal manometry in patients with non cardiac chest pain. MATERIAL AND METHODS:One hundred patients with chest pain in whom coronary problems were discarded, were...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872006000300004

    authors: Rencoret G,Csendes A,Henríquez A

    更新日期:2006-03-01 00:00:00

  • [Phenytoin pharmacokinetics in young and older adults].

    abstract::To study the effect of old age on phenytoin pharmacokinetics, twelve young and nine old adults aged 21.7 +/- 1.8 and 71.8 +/- 4.9 years respectively, were studied. No significant differences of phenytoin indicating the drug distribution and elimination does not change with aging. After oral administration, significant...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Estruch J,Galdames D,Martinetti A,Saavedra I

    更新日期:1992-10-01 00:00:00

  • [Cardiotoxicity of anticancer therapies. Towards the implementation of cardio-oncology units].

    abstract::Recently, we have witnessed major improvements in cancer treatment. Early diagnosis and development of new therapies have reduced cancer-related mortality. However, these new therapies, along with greater patient survival, are associated with an increase in untoward effects, particularly in the cardiovascular system. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/s0034-98872018000100068

    authors: Hameau R,Gabrielli L,Garrido M,Guzmán AM,Retamal I,Vacarezza MJ,Greig D,Ocqueteau M,Sánchez C,Pizarro M,Corvalán A,Lavandero S,Castro PF,Martínez G

    更新日期:2018-01-01 00:00:00

  • [Aortic valve multiple papillary fibroelastoma complicated with a cerebrovascular accident: Report of one case].

    abstract::The echocardiographic identification of cardiac tumors as cause of embolic episodes is infrequent, and the finding of multiple papillary fibroelastoma is even less common. We report a 70 years old female with a history of a rheumatic mitral valve lesion, subjected to a commissurotomy in 1970. She was admitted with a c...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Córdova S,Zalaquett R,Chuaqui B,Casanegra P,Chamorro G

    更新日期:2001-09-01 00:00:00

  • [Sézary syndrome treated with extracorporeal photopheresis: Report of one case].

    abstract::Sézary syndrome (SS) is an unusually aggressive T- cell lymphoma characterized by the triad of erythroderma, the presence of more than 1,000 Sézary cells in peripheral blood and lymphadenopathies. It is accompanied by generalized pruritus and poor quality of life. The management of SS depends on its stage, patient com...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872015001100011

    authors: Molgó M,Jaque A,Vial V,Ocqueteau M,Pereira J,Chang M,González S

    更新日期:2015-11-01 00:00:00

  • [Seroprevalence of Epstein Barr virus infection in a healthy population of Santiago de Chile].

    abstract::To study the rate of infection by Epstein Barr virus (EBV) in Santiago, Chile, the prevalence of antibody to the viral capsid antigen (VCA-IgG) was determined in a group of 663 healthy individuals grouped by age and socioeconomic level (SEL). In addition, several risk factors for infection were studied. VCA-IgG was de...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Ferrés M,Prado P,Ovalle J,Fuentes R,Villarroel L,Ferreccio C,Vial P

    更新日期:1995-12-01 00:00:00

  • [Skin prick test of immediate hypersensitivity in a selected Chilean pediatric population sample].

    abstract:BACKGROUND:Skin prick test (SPT) of immediate hypersensitivity is a main instrument in the diagnosis of allergy. AIM:To demonstrate the applicability of skin prick test in different age groups. PATIENTS AND METHODS:We studied children and adolescents with the diagnosis of allergy in the Pediatric Respiratory Laborato...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872005000200007

    authors: Martínez J,Méndez C,Talesnik E,Campos E,Viviani P,Sánchez I

    更新日期:2005-02-01 00:00:00

  • [Effect of VKORC1 and CYP2C9 variants on dosage of oral anticoagulants in Chilean individuals].

    abstract:BACKGROUND:The dose of oral anticoagulants (OAC) shows great variability among patients. Pharmacogenetic studies have shown that common variants in genes CYP2C9 (*2 and *3) and VKORC1 (-1639G>A) are associated with lower requirements of OAC. AIM:To study the association between average maintenance doses of oral antico...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872015001100001

    authors: Benavides F,Grossman N,Poggi H,Nieto E,Bertrán A,Araos D,Vásquez M,Ibarra I,Cáceres F,Espinoza K,Lagos M,Repetto M G

    更新日期:2015-11-01 00:00:00

  • [KRAS gene mutation in colorectal cancer].

    abstract:BACKGROUND:KRAS oncogene is involved in colorectal carcinogenesis in 22 to 45% of cases. AIM:To determine the frequency, types and distribution of KRAS mutations in colorectal cancer. MATERIAL AND METHODS:KRAS mutations studies were carried out in primary tumors and metastases of colo-rectal cancer from 56 women aged...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000900009

    authors: Roa I,Sánchez T,Majlis A,Schalper K

    更新日期:2013-09-01 00:00:00

  • [Noncardiogenic pulmonary edema associated with hydrochlorothiazide use].

    abstract::A 54 years old female patient with a mitral valve prolapse and a rheumatoid arthritis treated with steroids was admitted with dyspnea and hypotension, that started 30 min after taking a pill containing enapril and hydrochlorothiazide. Hemodynamic monitoring with a Swan-Ganz catheter showed a pulmonary capillary pressu...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Saldaña A,Jalil J,Gaete P,Fajuri A,Castro P,Godoy I,Corbalán R

    更新日期:1996-06-01 00:00:00

  • [Characteristics and results of breast cancer in elderly females treated with curative intent].

    abstract:BACKGROUND:Aging is the main risk factor to acquire breast cancer (BC). Nevertheless BC in elderly patients is sub-represented in clinical trials. AIM:To describe the clinical characteristics and long term treatment results of localized BC in older women. MATERIAL AND METHODS:Review of medical records of 65 women age...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013001200006

    authors: Sánchez R C,Bakal I F,Camus A M,Besa de C P

    更新日期:2013-12-01 00:00:00

  • [Major histocompatibility system as a risk factor for alcoholic liver disease].

    abstract::Several associations between alleles of the major histocompatibility system and alcoholic liver disease have been described. However, these are weak and change from one population to another. The aim of this work was to search for a possible genetic risk factor for alcoholic liver disease among Chilean alcoholics. We ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Llop E,Hirsch S,de la Maza MP,Bunout D,Iturriaga H,Silva C,Ugarte G,Rothhammer F

    更新日期:1995-06-01 00:00:00

  • [Non-specific cecal ulcer in a patient with chronic renal failure in hemodialysis treatment. Case report].

    abstract::We report a 65 years old female undergoing hemodialysis, presenting with intense pain in the lower right quadrant and moderate hematochezia. Since symptoms did not abate after an appendectomy, a colonoscopy and barium enema were performed, whose results suggested an advanced cecal carcinoma. Biopsies were negative for...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Bannura G,Melo C,Villamán J,Muñoz M,Levy I

    更新日期:1999-05-01 00:00:00

  • [Prevalence of Staphylococcus aureus among food handlers from a metropolitan university in Chile].

    abstract:BACKGROUND:An important agent of food intoxication is Staphylococcus aureus, that is able to produce enterotoxins. AIM:To detect Staphylococcus aureus contamination in cafeteria food handlers of a Chilean University. SUBJECTS AND METHODS:Nose, throat, hands and nail samples from 87 food handlers were obtained for mic...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Soto A,Saldías ME,Oviedo P,Fernández M

    更新日期:1996-09-01 00:00:00

  • [Mushroom poisoning in the IX region. Role of Amanita gemmata].

    abstract::We report four episodes of mushroom poisoning that occurred between 1986 and 1990 in the province of Malleco. Twenty five of 36 individuals who ingested the mushroom became ill; they had an acute gastroenteritis that was followed in 7 by an acute hepatitis and in one by a massive upper gastrointestinal bleeding. Three...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Sierralta A,Jeria ME,Figueroa G,Pinto J,Araya JC,San Juan J,Grinbergs J,Valenzuela E

    更新日期:1994-07-01 00:00:00

  • [1st sexual intercourse and 1st pregnancy in puerperal women at a hospital of the metropolitan area].

    abstract::One thousand women hospitalized at a maternity were surveyed after their delivery or abortion about their first sexual intercourse and pregnancy. Mean age at the first sexual intercourse was 18.7 years and only 9.2% used a contraceptive method in spite that 20% were not willing to become pregnant. The mean age of sexu...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Henríquez R,Vargas NA

    更新日期:1995-07-01 00:00:00

  • [Pet cats, medicine and art].

    abstract::The author in this short text remembers the passing of a beloved pet cat. Cats are beautiful animals and wonderful companions. They evolved together with humans in Africa, subsequently spread over the five continents with them, and became the subject of many human cultural activities, including art, poetry and religio...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019000100091

    authors: Cabello C F

    更新日期:2019-01-01 00:00:00

  • [Day care attendance: impact on acute lower respiratory disease in children under 2 years old].

    abstract:AIM:To measure the impact of day care attendance on lower respiratory tract infections in children under two years old in two urban settings with different degrees of air pollution. SUBJECTS AND METHODS:A 26 week follow up, during fall and winter of 1991 and 1992, was performed to 98 children (48 attending day care an...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Vargas Catalán NA,Díaz Amor P,Zuleta Quiroz A,López Bravo IM,Venegas Silva V

    更新日期:1994-07-01 00:00:00

  • [Spontaneous tendon rupture in disseminated lupus erythematosus. A clinical case].

    abstract::A 37-year-old female with systemic lupus erythematosus and chronic treatment with steroids developed spontaneous bilateral rupture of tendons of both quadriceps muscles below the patella. Surgical treatment was undertaken with good results. The histologic features and a review of the literature are included. ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Segovia A,Román JC,Hinojosa M,Ruiz A,Guzmán L

    更新日期:1990-09-01 00:00:00

  • [Multisystemic involvement in obstructive sleep apnea].

    abstract::Obstructive Sleep Apnea (OSA) is characterized by repetitive upper airway collapse with apnea/hypopnea and recurrent hypoxia during sleep, which results in fragmented sleep and intermittent drops in arterial blood oxygen saturation (hypoxemia). Several dysfunctions of neurocognitive, endocrine, cardiovascular, and met...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872014000600009

    authors: Labarca G,Cruz N R,Descalzi F

    更新日期:2014-06-01 00:00:00

  • [Gastric cancer and tumor growth regulation. Study of cell proliferation markers and protein complex p53/p21WAF1/CIP1/mdm-2].

    abstract:BACKGROUND:p53/p21WAF1/CIP1 and mdm-2 proteins play an important role in cell cycle regulation. The study of the pathogenesis of gastric cancer is important to understand how these tumors progress during their natural history. AIM:To study the relationship between the immunohistochemical expression of p53/p21WAF1/CIP1...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Villaseca M,Araya JC,Roa I,Roa JC

    更新日期:2000-02-01 00:00:00

  • [Scientific ethics and frozen embryos].

    abstract:BACKGROUND:Scientific Ethics is the theory and praxis of decisions. Philosophical Ethics is presented as the theory and praxis of the good. As the good differs among cultures, Philosophical Ethics is dependent on the endo-cultural good conception. The decision (included that one of adhesion or not to a world vision) de...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Valenzuela CY

    更新日期:2001-05-01 00:00:00

  • [Nucleolar organizer regions in gastric cancer].

    abstract::Nucleolar organizer regions may be observed by colloidal silver stains. A considerable increase in the number of regions may be observed in tumors and other pathologic processes as an index of cellular proliferation. Among 20 studies in patients with gastric carcinoma we found a significantly greater number of nucleol...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Roa I,Araya JC,de Aretxabala X,Mauriz A,Cea M

    更新日期:1989-08-01 00:00:00

  • [Food quality and nutritional status in university students of eleven Chilean regions].

    abstract:BACKGROUND:The Chilean population has inadequate lifestyles and high prevalence of chronic diseases. AIM:To analyze eating behaviors, nutritional status and history of previous diseases, in students of higher education. MATERIAL AND METHODS:Cross-sectional study in students of 54 higher education centers across the c...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872012001200008

    authors: Ratner RG,Hernández PJ,Martel JA,Atalah ES

    更新日期:2012-12-01 00:00:00

  • [The impact of domestic violence on children's health].

    abstract:BACKGROUND:There is close association between maltreatment during pregnancy and child abuse after birth. AIM:To compare anthropometric growth and use of health services of children whose mothers suffered maltreatment with children coming from families without domestic violence. SUBJECTS AND METHODS:A longitudinal stu...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Arcos E,Uarac M,Molina I

    更新日期:2003-12-01 00:00:00

  • [Serum levels of alanine aminotransferase in Chilean population: analysis of results of the national health survey 2009-2010].

    abstract:BACKGROUND:Determination of Alanine aminotransferase serum levels ([ALT]s) is a sensitive ana reliable test for liver diseases. AIM:To report the prevalence of abnormal [ALT]s in Chilean population and to identify associated variables. METHODS:We analyzed data from a random sub-sample of 2,794 adults surveyed during ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000700011

    authors: Tejos R,Padilla O,Pizarro M,Solís N,Arab JP,Margozzini P,Miquel JF,Riquelme A,Arrese M

    更新日期:2013-07-01 00:00:00

  • [Human papilloma virus (HPV) typing in preneoplastic and neoplastic lesions of the uterine cervix in the IX region-Chile].

    abstract:BACKGROUND:Uterine cervical cancer (UCC) is an important public health problem in Chile. Although HPV infection has been established as the main cause of UCC, little is known of its frequency and distribution in our population. AIM:To determine the presence and frequency of viral genotypes in uterine cervical specimen...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Melo A,Montenegro S,Hooper T,Capurro I,Roa JC,Roa I

    更新日期:2003-12-01 00:00:00