Antibiotic-associated fulminant pseudomembranous colitis without toxic megacolon

Am J Gastroenterol. 1992 Dec;87(12):1816-9.


Presented is a middle-aged male who developed a fulminant case of antibiotic-associated pseudomembranous colitis characterized by leukocytosis, hypoalbuminemia, ascites, and anasarca without toxic megacolon. The patient responded slowly to medical therapy consisting of intravenous metronidazole, oral vancomycin, and parenteral nutrition. Subsequently, cholestyramine was administered. A review of the literature concerning similar cases of fulminant pseudomembranous colitis is presented.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Clindamycin / adverse effects*
  • Enterocolitis, Pseudomembranous / chemically induced*
  • Humans
  • Male
  • Megacolon, Toxic / diagnosis
  • Middle Aged
  • Sigmoidoscopy
  • Tomography, X-Ray Computed


  • Clindamycin