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Ann Fr Anesth Reanim · Dec 2003
Case Reports[Acute colonic pseudo-obstruction (Ogilvie's syndrome) in pneumococcal meningo-encephalitis treated with neostigmine].
- M Ould-Ahmed, L de Saint-Martin, S Ansart, A Renault, and J-M Boles.
- Service de réanimation médicale, centre hospitalier universitaire Cavale-Blanche, 29609 Brest, France. mehdi.oa@wanadoo.fr
- Ann Fr Anesth Reanim. 2003 Dec 1; 22 (10): 900-3.
AbstractWe report the case of a 71-year-old man with acute colonic pseudo-obstruction that complicates a pneumococcal meningo-encephalitis. After 48 h of conservative management with nothing by mouth, nasogastric suction, fluid and electrolyte correction, withdrawal of any anticholinergic agents, a pharmacological approach with 2 mg of neostigmine was successful in intensive care unit. This treatment was effective in over 80% of patients of recent reports. Neostigmine might be considered as first-line therapy in patients who do not have major contraindications to its use, because of less frequent iatrogenic risk than colonoscopic decompression or surgery.
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