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 |
|---|---|
| Article number | 22 |
| Journal | Annals of Clinical Microbiology and Antimicrobials |
| Volume | 16 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Apr 4 2017 |
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Keywords
- Case report
- Citrobacter braakii
- Colonoscopy
- Polyethylene glycol
- Septic shock
ASJC Scopus subject areas
- Microbiology (medical)
- Infectious Diseases
Cite this
Citrobacter braakii bacteremia-induced septic shock after colonoscopy preparation with polyethylene glycol in a critically ill patient : A case report. / Yumoto, Tetsuya; Kono, Yoshiyasu; Kawano, Seiji; Kamoi, Chihiro; Iida, Atsuyoshi; Nose, Motoko; Sato, Keiji; Ugawa, Toyomu; Okada, Hiroyuki; Ujike, Yoshihito; Nakao, Atsunori.
In: Annals of Clinical Microbiology and Antimicrobials, Vol. 16, No. 1, 22, 04.04.2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Citrobacter braakii bacteremia-induced septic shock after colonoscopy preparation with polyethylene glycol in a critically ill patient
T2 - A case report
AU - Yumoto, Tetsuya
AU - Kono, Yoshiyasu
AU - Kawano, Seiji
AU - Kamoi, Chihiro
AU - Iida, Atsuyoshi
AU - Nose, Motoko
AU - Sato, Keiji
AU - Ugawa, Toyomu
AU - Okada, Hiroyuki
AU - Ujike, Yoshihito
AU - Nakao, Atsunori
PY - 2017/4/4
Y1 - 2017/4/4
N2 - 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.
AB - 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.
KW - Case report
KW - Citrobacter braakii
KW - Colonoscopy
KW - Polyethylene glycol
KW - Septic shock
UR - http://www.scopus.com/inward/record.url?scp=85017033548&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85017033548&partnerID=8YFLogxK
U2 - 10.1186/s12941-017-0201-5
DO - 10.1186/s12941-017-0201-5
M3 - Article
VL - 16
JO - Annals of Clinical Microbiology and Antimicrobials
JF - Annals of Clinical Microbiology and Antimicrobials
SN - 1476-0711
IS - 1
M1 - 22
ER -