Abstract

A 70-day-old female infant received propranolol hydrochloride orally for hemangioma. On day 5 after the medication, the infant developed diarrhea and hematochezia. Propranolol hydrochloride was discontinued, and montmorillonite powder 1.0 g and live combined Bifidobacterium, Lactobacillus and Streptococcus therophilus tablets 0.5 g were given thrice daily orally. Three days later, the symptoms disappeared and fecal occult blood test showed negative. One week later, propranolol hydrochloride was given again and, 2 days later, the above symptoms recurred. Propranolol hydrochloride was stopped again and above therapeutic regime as well as Ding Guier umbilical paste was given (1 paste/d). The symptoms did not improve after 7 days of the treatment. The diagnosis of allergic colitis was confirmed through colonoscopy and intestinal mucosal biopy. Montmorillonite powder 1.0 g thrice daily, live combined Bifidobacterium, Lactobacillus and Streptococcus therophilus tablets 0.5 g thrice daily, and montelukast sodium tablets 1 mg once daily were given orally, and free amino acid-based infant formula was fed. A week later, the infant′s diarrhea and hematocheiza disappeared and fecal occult blood test showed negative. Key words: Propranolol; Colitis; Anaphylaxis; Infant

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