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The coloenteritis connected with treatment by antibiotics - Diseases of digestive organs at children

Table of contents
Diseases of digestive organs at children
Oral cavity
Diseases of teeth
Malformations of the sky and soft tissues of an oral cavity
Diseases of a mucous membrane of an oral cavity and gums
Diseases of lips and language
Sialadens
Digestive tract
Basic reasons of gastrointestinal frustration
Gullet
Atresia and esophageal and tracheal fistula
Guttural and tracheal and esophageal crevice, inborn stenosis of a gullet
Other diseases of a gullet
Stomach and intestines
Peptic ulcer
Inborn hypertrophic pyloric stenosis
Inborn impassability of intestines
Inborn impassability of a duodenum
Disturbances of turn of intestines
Inborn impassability of a small bowel
Inborn megacolon
Diverticulums and duplikatura
The acquired impassability of intestines
Intestines invagination
Foreign bodys of a stomach and intestines
Motive frustration. stomach and intestines
Anomalies of a structure of anorectal area
Infectious diseases of intestines
Nonspecific ulcer colitis
Illness Krone
Necrotic coloenteritis of newborns
The coloenteritis connected with treatment by antibiotics
Gastrointestinal symptoms of anaphylactoid purpura, gemolitiko-uraemic syndrome
Intolerance of food proteins
Eosinophilic gastroenteritis
Absorption disturbance syndromes
Malabsorption
Immunodeficiency and intestines
Syndrome of "a congestive loop"
Syndrome of a short small bowel
Gee's disease
Sprue after acute enteritis
Tropical to a spr
Whipple's illness, intestines lymphangiectasia, Uolmap's illness, idiopathic diffusion defeat of mucous
Enzymopathies and disturbances of mechanisms of transport of nutrients
Irritable colon
Acute appendicitis
Diseases of an anus, direct and large intestine
Tumors of a digestive tract at children
Hernias of a digestive tract at children
Exocrine part of a pancreas
Pancreatitis
Embryonic development of structure and function of a liver
Diagnosis of diseases of a liver
Cholestatic states at babies
Parenchymatous jaundices at children of chest age
Disturbances of a metabolism of a liver and zhelchevydelitelny system
Anomalies of a structure of bilious ways
Cysts of bilious channels
Cholestasia and diseases of a liver connected with completely parenteral food
Medicinal damage of a liver
Ray's syndrome
Chronic hepatitis
Wilson's illness — Konovalova
Indian juvenile cirrhosis
Damages of a liver at chronic colitis
Cirrhosis and chronic liver failure
Portal hypertensia and varicosity of a gullet
Fatty infiltration of a liver
Cholecystitis
Peritoneum diseases
Peritonitis
Peritoneum hernias
THE COLOENTERITIS CONNECTED WITH TREATMENT BY ANTIBIOTICS (PSEUDOMEMBRANOUS)

This rare, but severe damage of a small and large intestine can be shown by the whole range of various states — from diarrhea after reception of antibiotics to a pseudomembranous coloenteritis. The most frequent etiological factor is the enterotoxigenic strain of Clostridium perfringens living in distal part of intestines.
On the first week of an antibioticotherapia the patient has a diarrhea. Usually it occurs at oral administration of medicine. Many antibiotics can be "responsible", but clindamycin and ampicillin are more often than others. The illness can violently proceed, with the accruing heavy diarrhea, a bloody chair, stomach tension. At a severe form of a disease by means of the endoscope it is possible to see a typical picture: the exudate of creamy-white color which stuck to a normal mucous membrane forms membranes. The abdominal surgical interventions taking place in the past, and also the accompanying vascular pathology (for example, a nodular periarteritis) increase probability of a fulminant current. In hard cases from a calla sow enterotoksinprodutsiruyushchy clostridiums. However it should be noted that the same microorganisms find also at easier current, when there is no explicit pseudomembranes.
In an acute stage of a pseudomembranous coloenteritis intensive urgent treatment is required. Stop giving antibiotics which as assume, caused a coloenteritis, and food, gastric contents suck away through a probe, enter intravenously nutrients and mineral salts, appoint orally Vancomycinum. Use of the corresponding antibiotic reduces terms of a disease and allows to return to oral administration of food within one week. In mild cases it is rather simple to stop introduction of an antibiotic which caused a disease. At moderately severe diseases treatment has to be carried out taking into account a possibility of a lethal outcome, i.e. to be the most intensive.



 
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