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Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile

Clostridioides difficile (C. difficile) is a common nosocomial infection that is classically described as profuse watery diarrhea in hospitalized patients after antibiotic use. We present a case of a 76-year-old female who presented to our emergency room with diffuse abdominal pain after consuming m...

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Autores principales: Singla, Abhinav, Pash, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444969/
https://www.ncbi.nlm.nih.gov/pubmed/32850262
http://dx.doi.org/10.7759/cureus.9900
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author Singla, Abhinav
Pash, David
author_facet Singla, Abhinav
Pash, David
author_sort Singla, Abhinav
collection PubMed
description Clostridioides difficile (C. difficile) is a common nosocomial infection that is classically described as profuse watery diarrhea in hospitalized patients after antibiotic use. We present a case of a 76-year-old female who presented to our emergency room with diffuse abdominal pain after consuming meals. This patient had completed treatment with oral vancomycin for C. difficile infection two weeks prior to admission and had been asymptomatic until this point. After receiving treatments for presumed acute mesenteric ischemia did not yield clinical improvement, polymerase chain reaction for C. difficile stool antigen was tested and was positive. While the patient did not have diarrhea, the classical feature of C. difficile infection, she quickly improved after treatment with oral vancomycin.
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spelling pubmed-74449692020-08-25 Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile Singla, Abhinav Pash, David Cureus Internal Medicine Clostridioides difficile (C. difficile) is a common nosocomial infection that is classically described as profuse watery diarrhea in hospitalized patients after antibiotic use. We present a case of a 76-year-old female who presented to our emergency room with diffuse abdominal pain after consuming meals. This patient had completed treatment with oral vancomycin for C. difficile infection two weeks prior to admission and had been asymptomatic until this point. After receiving treatments for presumed acute mesenteric ischemia did not yield clinical improvement, polymerase chain reaction for C. difficile stool antigen was tested and was positive. While the patient did not have diarrhea, the classical feature of C. difficile infection, she quickly improved after treatment with oral vancomycin. Cureus 2020-08-20 /pmc/articles/PMC7444969/ /pubmed/32850262 http://dx.doi.org/10.7759/cureus.9900 Text en Copyright © 2020, Singla et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Singla, Abhinav
Pash, David
Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile
title Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile
title_full Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile
title_fullStr Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile
title_full_unstemmed Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile
title_short Diarrhea or No Diarrhea, It Still Hurts: An Atypical Case of Clostridioides difficile
title_sort diarrhea or no diarrhea, it still hurts: an atypical case of clostridioides difficile
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444969/
https://www.ncbi.nlm.nih.gov/pubmed/32850262
http://dx.doi.org/10.7759/cureus.9900
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