CC BY 4.0 · Journal of Coloproctology 2024; 44(04): e285-e287
DOI: 10.1055/s-0044-1788666
Case Report

Clostridioides Difficile Infection Presenting with Fulminant Colitis

1   Department of Colon & Rectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, United States
,
1   Department of Colon & Rectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, United States
,
1   Department of Colon & Rectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, United States
› Institutsangaben
Funding No funding was received for this study.

Abstract

Clostridioides difficile infection (CDI) is a common hospital-acquired infection, typically presenting with watery diarrhea and colitis. Most cases are managed with clinical support and antibiotics. Recently, more virulent strains have been associated with life-threatening infections. Surgery plays a role for complicated cases failing clinical treatment or with complications, such as bowel perforation and peritonitis. The present study reports the case of a 62-year-old female with CDI and fulminant colitis requiring urgent surgery. Surgeons should be aware of this presentation and involved early in the care of these patients, as clinical deterioration can occur very rapidly.

Informed Consent

Informed consent was obtained from the patient.


Data Availability

All data are included within the manuscript.


Author's Contribution

L.F.S., C.A., and S.R.S. contributed equally to the writing and editing of this manuscript. All authors read and approved the final manuscript.




Publikationsverlauf

Eingereicht: 26. Januar 2024

Angenommen: 05. Juni 2024

Artikel online veröffentlicht:
01. August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Poylin V, Hawkins AT, Bhama AR. et al. Prepared by the Clinical Practice Guidelines Committee of The American Society of Colon and Rectal Surgeons. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Clostridioides difficile Infection. Dis Colon Rectum 2021; 64 (06) 650-668
  • 2 Denève C, Janoir C, Poilane I, Fantinato C, Collignon A. New trends in Clostridium difficile virulence and pathogenesis. Int J Antimicrob Agents 2009; 33 (Suppl. 01) S24-S28
  • 3 Miller AT, Tabrizian P, Greenstein AJ, Dikman A, Byrn J, Divino C. Long-term follow-up of patients with fulminant Clostridium difficile colitis. J Gastrointest Surg 2009; 13 (05) 956-959