Case Reports : A case of pseudomembranous colitis presenting as leukemoid reaction in a patient with alcoholic cirrhosis

Sung Yeun Yang,

Korean J Med > Volume 70(2); 2006 > Article

Original Article

The Korean Journal of Medicine 2006;70(2):146-150.

Case Reports : A case of pseudomembranous colitis presenting as leukemoid reaction in a patient with alcoholic cirrhosis

Sung Yeun Yang

한림의대 한강성심병원 내과

증례 : 위막성 장염으로 인한 유백혈병 반응을 동반한 알코올성 간경변 1예

양성연

Abstract

Pseudomembranous colitis primarily caused by C. difficile infection is common problem in hospitals nationwide. The most predisposing factor is prior use of antibiotics. Common clinical manifestations of C. difficile colitis include abdominal discomfort, fever, and diarrhea. Leukocytosis is also increasingly recognized as a manifestation. However, the leukemoid reaction due to C. difficile infection is rarely reported. The reason for leukemoid reaction in patients with C. difficile colitis are unclear but are likely related to significant systemic inflammatory response. We report a case of alcoholic cirrhosis with pseudomembranous colitis presenting as leukemoid reaction.(Korean J Med 70:S146-S150, 2006) ey Words : Leukemoid reaction, Pseudomembranous colitis, Alcoholic cirrhosis