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Fecal impaction and systemic inflammatory response syndrome in a young male with cerebral palsy

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dc.contributor.author Elhajj I.I.
dc.contributor.author El-Zahabi L.M.
dc.contributor.author Abdul-Baki H.
dc.contributor.author Barada K.A.
dc.contributor.editor
dc.date May-2006
dc.date.accessioned 2017-10-05T15:40:37Z
dc.date.available 2017-10-05T15:40:37Z
dc.date.issued 2006
dc.identifier 10.1097/01.smj.0000209279.07553.61
dc.identifier.isbn
dc.identifier.issn 00384348
dc.identifier.uri http://hdl.handle.net/10938/17541
dc.description.abstract Symptoms of fecal impaction extend from constipation, anorexia, nausea, vomiting and abdominal pain, to full blown sepsis. We present the case of a patient with cerebral palsy and mental retardation, who presented to the Emergency Department with a 3-day history of diffuse abdominal pain and fecal incontinence. Evaluation revealed severe fecal impaction. The patient developed systemic inflammatory response syndrome (SIRS), with negative workup for underlying etiology. He responded well to digital disimpaction and antibiotics. Our case illustrates the serious sequelae of fecal impaction, which should be considered in patients with neurologic disorders and SIRS. Copyright © 2006 by The Southern Medical Association.
dc.format.extent
dc.format.extent Pages: (521-524)
dc.language English
dc.publisher PHILADELPHIA
dc.relation.ispartof Publication Name: Southern Medical Journal; Publication Year: 2006; Volume: 99; no. 5; Pages: (521-524);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Fecal impaction and systemic inflammatory response syndrome in a young male with cerebral palsy
dc.type Article
dc.contributor.affiliation Elhajj, I.I., Department of Internal Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon
dc.contributor.affiliation El-Zahabi, L.M., Department of Internal Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon
dc.contributor.affiliation Abdul-Baki, H., Department of Internal Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon
dc.contributor.affiliation Barada, K.A., Department of Internal Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon, Department of Internal Medicine, AUBMC, 110 32090 Beirut, Lebanon
dc.contributor.authorAddress Barada, K.A.; Department of Internal Medicine, AUBMC, 110 32090 Beirut, Lebanon; email: kb02@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision
dc.contributor.authorEmail kb02@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials ElHajj, II
dc.contributor.authorInitials El-Zahabi, LM
dc.contributor.authorInitials Abdul-Baki, H
dc.contributor.authorInitials Barada, KA
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Barada, KA (reprint author), AUBMC, Dept Internal Med, Beirut 11032090, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited BONE RC, 1992, CRIT CARE MED, V20, P864; BREDA G, 1975, UROL RES, V2, P155; Camilleri M, 1996, SEMIN NEUROL, V16, P203, DOI 10.1055-s-2008-1040977; GUPTA KL, 1983, BRIT J CLIN PRACT, V37, P155; GURLL N, 1975, DIS COLON RECTUM, V18, P507, DOI 10.1007-BF02587220; HAGEN MD, 1987, SOUTHERN MED J, V80, P1056, DOI 10.1097-00007611-198708000-00030; HUGHES JJ, 1986, ALA J MED SCI, V23, P420; Krogh K, 2001, ACTA NEUROL SCAND, V103, P335, DOI 10.1034-j.1600-0404.2001.103006335.x; Levy Mitchell M, 2003, Intensive Care Med, V29, P530; Park ES, 2004, ARCH PHYS MED REHAB, V85, P453, DOI 10.1016-S0003-9993(03)00479-9; Schnelle JF, 2004, GASTROENTEROLOGY, V126, pS41, DOI 10.1053-j.gastro.2003.10.017; WALD A, 1990, GASTROENTEROL CLIN N, V19, P405; WATSKY KL, 1985, ARCH INTERN MED, V145, P58, DOI 10.1001-archinte.145.1.58; Wright B A, 1986, Nurse Pract, V11, P53; YOUNG RW, 1973, J AM GERIATR SOC, V21, P383
dc.description.citedCount 1
dc.description.citedTotWOSCount 1
dc.description.citedWOSCount 1
dc.format.extentCount 4
dc.identifier.articleNo
dc.identifier.coden SMJOA
dc.identifier.pubmedID 16711317
dc.identifier.scopusID 33744470580
dc.identifier.url
dc.publisher.address 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
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dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr South.Med.J.
dc.relation.ispartOfIssue 5
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Southern Medical Journal
dc.relation.ispartofPubTitleAbbr South. Med. J.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 99
dc.source.ID WOS:000241315500017
dc.type.publication Journal
dc.subject.otherAuthKeyword Fecal impaction
dc.subject.otherAuthKeyword Fecal incontinence
dc.subject.otherAuthKeyword Systemic inflammatory response syndrome
dc.subject.otherChemCAS C reactive protein, 9007-41-4
dc.subject.otherChemCAS ciprofloxacin, 85721-33-1
dc.subject.otherChemCAS creatinine, 19230-81-0, 60-27-5
dc.subject.otherChemCAS macrogol, 25322-68-3
dc.subject.otherChemCAS metronidazole, 39322-38-8, 443-48-1
dc.subject.otherChemCAS phenobarbital, 50-06-6, 57-30-7, 8028-68-0
dc.subject.otherChemCAS phenytoin, 57-41-0, 630-93-3
dc.subject.otherChemCAS valproic acid, 1069-66-5, 99-66-1
dc.subject.otherIndex antibiotic agent
dc.subject.otherIndex C reactive protein
dc.subject.otherIndex ciprofloxacin
dc.subject.otherIndex creatinine
dc.subject.otherIndex enema
dc.subject.otherIndex laxative
dc.subject.otherIndex macrogol
dc.subject.otherIndex metronidazole
dc.subject.otherIndex phenobarbital
dc.subject.otherIndex phenytoin
dc.subject.otherIndex valproic acid
dc.subject.otherIndex abdominal pain
dc.subject.otherIndex abdominal tenderness
dc.subject.otherIndex adult
dc.subject.otherIndex anorexia
dc.subject.otherIndex article
dc.subject.otherIndex bacteremia
dc.subject.otherIndex brain ventricle peritoneum shunt
dc.subject.otherIndex case report
dc.subject.otherIndex cerebral palsy
dc.subject.otherIndex chill
dc.subject.otherIndex computer assisted tomography
dc.subject.otherIndex constipation
dc.subject.otherIndex diarrhea
dc.subject.otherIndex digital rectal examination
dc.subject.otherIndex feces impaction
dc.subject.otherIndex feces incontinence
dc.subject.otherIndex fever
dc.subject.otherIndex human
dc.subject.otherIndex immobilization
dc.subject.otherIndex male
dc.subject.otherIndex mental deficiency
dc.subject.otherIndex nausea
dc.subject.otherIndex oliguria
dc.subject.otherIndex sepsis
dc.subject.otherIndex symptom
dc.subject.otherIndex systemic inflammatory response syndrome
dc.subject.otherIndex tachycardia
dc.subject.otherIndex tachypnea
dc.subject.otherIndex urinary frequency
dc.subject.otherIndex urine retention
dc.subject.otherIndex vomiting
dc.subject.otherIndex Adult
dc.subject.otherIndex Cerebral Palsy
dc.subject.otherIndex Fecal Impaction
dc.subject.otherIndex Humans
dc.subject.otherIndex Male
dc.subject.otherIndex Systemic Inflammatory Response Syndrome
dc.subject.otherKeywordPlus G STREPTOCOCCAL BACTEREMIA
dc.subject.otherKeywordPlus CONSTIPATION
dc.subject.otherKeywordPlus INCONTINENCE
dc.subject.otherWOS Medicine, General and Internal


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