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Previous Volume 329:583 August 19, 1993 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: We report the use of intracolonic vancomycin to treat antibiotic-associated pseudomembranous colitis in a patient with paralytic ileus.

An 80-year-old man underwent combined aortocoronary-bypass grafting, thromboendarterectomy of the left carotid artery, and insertion of a Y-shaped aortoiliac graft. The initial postoperative course was uneventful. Four days after surgery, a suspected lung infection was treated with parenteral imipenem and later with ceftazidime and ciprofloxacin. Nine days after surgery, abdominal discomfort, fever, and leukocytosis (42,600 cells per cubic millimeter) developed. This was followed by paralytic ileus and two episodes of voluminous bloody diarrhea. Pseudomembranous colitis was diagnosed by colonoscopy, . . . [Full Text of this Article]

References

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• Dalakas, M. C. (2002). Mechanisms of action of IVIg and therapeutic considerations in the treatment of acute and chronic demyelinating neuropathies. Neurology 59: S13-21 [Abstract] [Full Text]  
• Brannagan, T. H. III (2002). Intravenous gammaglobulin (IVIg) for treatment of CIDP and related immune-mediated neuropathies. Neurology 59: S33-40 [Abstract] [Full Text]