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Colitis associated with oral clindamycin therapy

A clinical study of 16 patients

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Abstract

The clinical, radiologic, and histologic features of 16 patients hospitalized with clindamycin-associated colitis are presented. The findings are tabulated and compared to 33 cases reported in the literature. The majority of patients were caucasian females over 40 years of age. The clinical presentation varied from mild persistent diarrhea to acute surgical abdomen. Proctoscopic examination revealed nonspecific colitis in 9 and pseudomembranous colitis in 7 cases. No specific radiologic or histologic findings for postantibiotic colitis were found. Therapy was nonspecific and varied according to the severity of the clinical course. Clinically, there appeared to be some benefit from systemic steroid therapy. 4 of the 16 patients died. None of the recovered patients have had spontaneous relapses off medication during follow-up evaluation. The pathogenic mechanism for postantibiotic colitis secondary to clindamycin remains unknown and does not appear dose related. Clindamycin therapy should be limited to disorders with specific indications.

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This study was supported by U.S. Public Health Service Grant 5 RO1 AM06506, National Institute of Arthritis, Metabolism, and Digestive Diseases.

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Hoberman, L.J., Eigenbrodt, E.H., Kilman, W.J. et al. Colitis associated with oral clindamycin therapy. Digest Dis Sci 21, 1–17 (1976). https://doi.org/10.1007/BF01074133

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