Can quinolones cause hemorrhagic colitis of late onset? Report of three cases

PURPOSE: This study was undertaken to demonstrate that quinolones may cause acute colitis resembling penicillin-induced hemorrhagic colitis.

METHODS: We reviewed the medical records of patients with acute colitis in our institutes. Twenty-eight patients with acute hemorrhagic colitis in which no pathogenic microorganisms were identified were the subjects of this study. Pseudomembranous colitis caused by Clostridium difficile was excluded. Ulcerative colitis, Crohn's disease, and radiation proctocolitis were also excluded.

RESULTS: Among these patients, 25 had a history of recent administration of penicillin derivatives. The remaining three patients had never been given any penicillin derivatives, but had ingested quinolones approximately four weeks before the developing colitis had been identified. Klebsiella oxytoca was also isolated in these three patients.

CONCLUSIONS: Quinolones may cause acute hemorrhagic colitis. The time interval from antibiotic ingestion to onset of the condition may be much longer in quinolones than in penicillin derivatives.

Medienart:

Artikel

Erscheinungsjahr:

1999

Erschienen:

1999

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Diseases of the colon and rectum - 42(1999), 11 vom: 23. Nov., Seite 1502-4

Sprache:

Englisch

Beteiligte Personen:

Koga, H [VerfasserIn]
Aoyagi, K [VerfasserIn]
Yoshimura, R [VerfasserIn]
Kimura, Y [VerfasserIn]
Iida, M [VerfasserIn]
Fujishima, M [VerfasserIn]

Themen:

325OGW249P
A4P49JAZ9H
Anti-Infective Agents
Case Reports
Enoxacin
Fluoroquinolones
GHJ553KQPS
Journal Article
Naphthyridines
Ofloxacin
Tosufloxacin

Anmerkungen:

Date Completed 30.11.1999

Date Revised 21.07.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM104965355