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Clostridioides Difficile Enteritis: Case Report and Literature Review
Background: Clostridioides Difficile is a well-known pathogen causing diarrhea of various degrees of severity through associated infectious colitis. However, there have been reports of infectious enteritis mainly in patients with ileostomy, causing dehydration through high-output volume; Case presen...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8868300/ https://www.ncbi.nlm.nih.gov/pubmed/35203809 http://dx.doi.org/10.3390/antibiotics11020206 |
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author | Klimko, Artsiom Tieranu, Cristian George Curte, Ana-Maria Preda, Carmen Monica Tieranu, Ioana Olteanu, Andrei Ovidiu Ionescu, Elena Mirela |
author_facet | Klimko, Artsiom Tieranu, Cristian George Curte, Ana-Maria Preda, Carmen Monica Tieranu, Ioana Olteanu, Andrei Ovidiu Ionescu, Elena Mirela |
author_sort | Klimko, Artsiom |
collection | PubMed |
description | Background: Clostridioides Difficile is a well-known pathogen causing diarrhea of various degrees of severity through associated infectious colitis. However, there have been reports of infectious enteritis mainly in patients with ileostomy, causing dehydration through high-output volume; Case presentation: We report the case of a 46-year-old male patient, malnourished, who presented with high-output ileostomy following a recent hospitalization where he had suffered an ileo-colic resection with ileal and transverse colon double ostomy, for stricturing Crohn’s disease. Clostridioides Difficile toxin A was identified in the ileal output confirming the diagnosis of acute enteritis. Treatment with oral Vancomycin was initiated with rapid reduction of the ileostomy output volume; Conclusion: We report a case of Clostridioides Difficile enteral infection as a cause for high-output ileostomy, successfully treated with oral Vancomycin. We also review the existing literature data regarding this specific localized infection. |
format | Online Article Text |
id | pubmed-8868300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88683002022-02-25 Clostridioides Difficile Enteritis: Case Report and Literature Review Klimko, Artsiom Tieranu, Cristian George Curte, Ana-Maria Preda, Carmen Monica Tieranu, Ioana Olteanu, Andrei Ovidiu Ionescu, Elena Mirela Antibiotics (Basel) Review Background: Clostridioides Difficile is a well-known pathogen causing diarrhea of various degrees of severity through associated infectious colitis. However, there have been reports of infectious enteritis mainly in patients with ileostomy, causing dehydration through high-output volume; Case presentation: We report the case of a 46-year-old male patient, malnourished, who presented with high-output ileostomy following a recent hospitalization where he had suffered an ileo-colic resection with ileal and transverse colon double ostomy, for stricturing Crohn’s disease. Clostridioides Difficile toxin A was identified in the ileal output confirming the diagnosis of acute enteritis. Treatment with oral Vancomycin was initiated with rapid reduction of the ileostomy output volume; Conclusion: We report a case of Clostridioides Difficile enteral infection as a cause for high-output ileostomy, successfully treated with oral Vancomycin. We also review the existing literature data regarding this specific localized infection. MDPI 2022-02-06 /pmc/articles/PMC8868300/ /pubmed/35203809 http://dx.doi.org/10.3390/antibiotics11020206 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Klimko, Artsiom Tieranu, Cristian George Curte, Ana-Maria Preda, Carmen Monica Tieranu, Ioana Olteanu, Andrei Ovidiu Ionescu, Elena Mirela Clostridioides Difficile Enteritis: Case Report and Literature Review |
title | Clostridioides Difficile Enteritis: Case Report and Literature Review |
title_full | Clostridioides Difficile Enteritis: Case Report and Literature Review |
title_fullStr | Clostridioides Difficile Enteritis: Case Report and Literature Review |
title_full_unstemmed | Clostridioides Difficile Enteritis: Case Report and Literature Review |
title_short | Clostridioides Difficile Enteritis: Case Report and Literature Review |
title_sort | clostridioides difficile enteritis: case report and literature review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8868300/ https://www.ncbi.nlm.nih.gov/pubmed/35203809 http://dx.doi.org/10.3390/antibiotics11020206 |
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