{"id":2433,"date":"2023-01-24T13:46:53","date_gmt":"2023-01-24T12:46:53","guid":{"rendered":"https:\/\/angh.net\/abstracts\/heureuse-sera-la-chute\/"},"modified":"2023-01-24T13:46:53","modified_gmt":"2023-01-24T12:46:53","slug":"heureuse-sera-la-chute","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/heureuse-sera-la-chute\/","title":{"rendered":"Heureuse sera la chute..!"},"content":{"rendered":"<p><strong>2022<\/strong><\/p>\n<p><em>Marion OLIVARI, Sabine TEDJINI, Sylvain MERLE, Fr\u00e9d\u00e9ric HELUWAERT.<br \/>\nCH Annecy Genvevois<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02022-05-08 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Nous sommes amen\u00e9s \u00e0 prendre en charge par le biais des Urgences en janvier 2021 , une patiente de 42 ans, sans ant\u00e9c\u00e9dent particulier.  Elle pr\u00e9sente depuis 3 jours,  un tableau tr\u00e8s brutal de diarrh\u00e9e sanglante avec 40 selles\/j sans fi\u00e8vre avec des douleurs hypogastriques. L\u2019interrogatoire ne r\u00e9v\u00e8le ni prise d&rsquo;AINS, ni voyage, ni consommation de volaille peu cuite r\u00e9cemment. Suite \u00e0 une intol\u00e9rance initiale \u00e0 la prise d&rsquo;azithromycine, elle est mise sous SMECTA par son m\u00e9decin traitant. Aux urgences,  \u00e9tat d&rsquo;asth\u00e9nie intense, un abdomen sensible se d\u00e9fendant dans l&rsquo;hypogastre, une tachycardie. Syndrome inflammatoire marqu\u00e9 avec Hb \u00e0 150 g\/l, une hyperleucocytose \u00e0 31.1 G\/l, plaquettes normales \u00e0 216, TP 80%, cr\u00e9atinine \u00e0 65 \u00b5mol\/l,  CRP \u00e0 125, prot\u00e9ine normale \u00e0 66 g. Le scanner r\u00e9alis\u00e9 rapidement d\u00e9crit une pancolite avec un \u00e9panchement intra p\u00e9riton\u00e9al, l&rsquo;hypoth\u00e8se d&rsquo;une colite infectieuse s\u00e9v\u00e8re \u00e9tant majeure et devant une panne de l\u2019automate de PCR , une coprologie des selles est r\u00e9alis\u00e9e, mais la patiente est rapidement mise sous  ROCEPHINE FLAGYL devant l\u2019intol\u00e9rance orale. L&rsquo;\u00e9volution clinique initiale n&rsquo;est pas favorable malgr\u00e9 les antalgiques et l&rsquo;antibioth\u00e9rapie. Devant l&rsquo;aggravation \u00e0 J2, une rectosigmo\u00efdoscopie est r\u00e9alis\u00e9e pour \u00e9liminer une colite aigu\u00eb grave pouvant \u00e9ventuellement r\u00e9v\u00e9ler une rectocolite h\u00e9morragique. Cet examen ne r\u00e9v\u00e8le pas de l\u00e9sions rectosigmo\u00efdiennes mais met en \u00e9vidence une colite s\u00e9v\u00e8re dont l&rsquo;aspect endoscopique \u00e9tait plus \u00e9vocateur d&rsquo;une atteinte infectieuse.<br \/>\nA l\u2019issue de la rectosigmo\u00efdoscopie, vous r\u00e9ceptionnez le bilan biologique pr\u00e9lev\u00e9 le matin\u2026apparition d&rsquo;une insuffisance r\u00e9nale \u00e0 250 \u00b5mol, d&rsquo;une thrombop\u00e9nie \u00e0 50 G\/l et d\u2019une chute de l\u2019Hb a 110 g\/L\u2026<br \/>\nQue se passe t\u2019il ?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2022 Marion OLIVARI, Sabine TEDJINI, Sylvain MERLE, Fr\u00e9d\u00e9ric HELUWAERT. CH Annecy Genvevois Gastroent\u00e9rologie &#8211; \u00a02022-05-08 &#8211;\u00a0CC &#8211; ________________________________ Nous sommes amen\u00e9s \u00e0 prendre en charge par le biais des Urgences en janvier 2021 , une patiente de 42 ans, sans ant\u00e9c\u00e9dent particulier. Elle pr\u00e9sente depuis 3 jours, un tableau tr\u00e8s brutal de diarrh\u00e9e sanglante avec [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[35],"class_list":["post-2433","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-35"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Heureuse sera la chute..! - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/heureuse-sera-la-chute\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Heureuse sera la chute..! 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