Abstract
Background: Polyethylene glycol (PEG) is widely used for bowel cleaning in preparation for colonoscopy because of its safety. Septic shock after PEG preparation is an extremely rare complication. Herein, we describe a case of septic shock that occurred immediately after colonoscopy preparation with PEG. Case presentation: A 75-year-old Japanese male who had previously developed diabetes after total pancreatectomy received PEG in preparation for colonoscopy. He had been admitted to the emergency intensive care unit 4 days earlier due to hematochezia presenting with shock. He ingested PEG to prepare for a colonoscopy examination, which was performed to identify the source of his bleeding over a 5-h period, but suddenly exhibited septic shock and markedly elevated procalcitonin levels. A blood culture subsequently revealed Citrobacter braakii. Immediate resuscitation and intensive care with appropriate antibiotics improved his condition. Conclusions: Clinicians should be aware of the possibility of deteriorating conditions after bowel preparation with PEG among severely ill patients with recent episodes of hemorrhagic shock.
Original language | English |
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Article number | 22 |
Journal | Annals of Clinical Microbiology and Antimicrobials |
Volume | 16 |
Issue number | 1 |
DOIs | |
Publication status | Published - Apr 4 2017 |
Keywords
- Case report
- Citrobacter braakii
- Colonoscopy
- Polyethylene glycol
- Septic shock
ASJC Scopus subject areas
- Microbiology (medical)
- Infectious Diseases