Sulphasalazine-Induced Pseudomembranous Colitis

An 18-year-old female with ankylosing spondylitis developed fever, abdominal pain and diarrhea on two occasions after starting sulphasalazine therapy. Flexible sigmoidoscopy revealed pseudomembranous colitis; fecal cultures were positive for Clostridium difficile; and C difficile toxin assay was pos...

Full description

Saved in:
Bibliographic Details
Main Authors: Hugh J Freeman, Urs P Steinbrecher, WC Peter Kwan, Stephanie Ensworth
Format: Article
Language:English
Published: Wiley 1991-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1991/420864
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An 18-year-old female with ankylosing spondylitis developed fever, abdominal pain and diarrhea on two occasions after starting sulphasalazine therapy. Flexible sigmoidoscopy revealed pseudomembranous colitis; fecal cultures were positive for Clostridium difficile; and C difficile toxin assay was positive. Despite the frequent use of sulphasalazine in the management of inflammatory bowel disease, this complication has been apparently rare. Clinicians should be wary of the onset of diarrhea in patients receiving sulphasalazine, whether for inflammatory bowel disease or other conditions.
ISSN:0835-7900