Unusual Case of Hematochezia Controlled by Endoscopic Intervention and Antibiotics

Authors

  • Mckey Remy Akiki Laura, Lebanese University Faculty of Medical Science, Beirut, Lebanon Author
  • Akiki Laura Akiki Laura, Lebanese University Faculty of Medical Science, Beirut, Lebanon Author
  • Hallal Marwa Faculty of Medicine, Lebanese American University, Byblos, Lebanon Author
  • Hallal Mahmoud Department of Gastroenterology and Hepatology, Al Zahraa Hospital University Medical Center (Zhumc), Beirut, Lebanon Author

DOI:

https://doi.org/10.47363/JGHR/2023(4)151

Keywords:

Rectorrhagia, Antibiotic Associated Colitis (AAC), Antibiotic Associated Hemorrhagic Colitis (AAHC), Glutamate Dehydrogenase (GDH)

Abstract

Background: Lower gastrointestinal bleeding can cause a life-threatening condition especially in the elderly with multiple comorbidities. Whilst some infectious colitis can cause bloody diarrhea, usually the blood loss is minimal and does not require an endoscopic intervention.
Case Presentation: In this report, we present a case of a 64-year-old Lebanese female with multiple comorbidities including renal failure on hemodialysis, hypertension and multiple myeloma on chemotherapy who presented for an acute episode of lower GI bleeding as a result of an antibiotic associated colitis by clostridium difficile infection.
Conclusion: Therefore, we should be vigilant about infectious colitis as a cause of GI bleeding in the immunosuppressed individuals and elderly with multiple comorbidities.

Author Biographies

  • Mckey Remy, Akiki Laura, Lebanese University Faculty of Medical Science, Beirut, Lebanon

    Akiki Laura, Lebanese University Faculty of Medical Science, Beirut, Lebanon

  • Akiki Laura, Akiki Laura, Lebanese University Faculty of Medical Science, Beirut, Lebanon

    Akiki Laura, Lebanese University Faculty of Medical Science, Beirut, Lebanon

  • Hallal Marwa, Faculty of Medicine, Lebanese American University, Byblos, Lebanon

    Faculty of Medicine, Lebanese American University, Byblos, Lebanon

  • Hallal Mahmoud, Department of Gastroenterology and Hepatology, Al Zahraa Hospital University Medical Center (Zhumc), Beirut, Lebanon

    Department of Gastroenterology and Hepatology, Al Zahraa Hospital University Medical Center (Zhumc), Beirut, Lebanon

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Published

2023-04-04

Issue

Vol. 4 No. 2 (2023): Volume 4 Issue 2

Section

Articles