Clostridioides difficile colitis

Case contributed by Vikas Shah , 29 Aug 2017
Diagnosis almost certain
Changed by Rohit Sharma, 27 Jan 2020

Updates to Case Attributes

Title was changed:
ClostridiumClostridioides difficile colitis
Body was changed:

Pancolitis is usually due to infection or inflammatory bowel disease, and less commonly ischaemia. Multiple features here allow a radiological diagnosis of ClostridiumClostridioidesdifficilecolitis to be made: recent treatment of a LRTI, no known history of IBD, and in particular, haustral thickening with ascites. This pattern of findings is seen relatively more frequently in this type of colitis. The haustral thickening sometimes leads to a finding known as the accordion sign.

The C. difficile toxin tests were subsequently found to be positive.

  • -<p>Pancolitis is usually due to infection or inflammatory bowel disease, and less commonly ischaemia. Multiple features here allow a radiological diagnosis of <a title="Clostridium difficile colitis" href="/articles/clostridium-difficile-colitis"><em>Clostridium </em></a><em><a title="Clostridium difficile colitis" href="/articles/clostridium-difficile-colitis">difficile</a><a href="/articles/clostridium-difficile-colitis"> </a></em><a title="Clostridium difficile colitis" href="/articles/clostridium-difficile-colitis">colitis</a> to be made: recent treatment of a LRTI, no known history of IBD, and in particular, haustral thickening with ascites. This pattern of findings is seen relatively more frequently in this type of colitis. The haustral thickening sometimes leads to a finding known as the <a href="/articles/accordion-sign-colon">accordion sign</a>.</p><p>The <em>C. difficile</em> toxin tests were subsequently found to be positive.</p>
  • +<p>Pancolitis is usually due to infection or inflammatory bowel disease, and less commonly ischaemia. Multiple features here allow a radiological diagnosis of <a title="Clostridioides difficile colitis" href="/articles/clostridioides-difficile-colitis"><em>Clostridioides</em></a><a title="Clostridioides difficile colitis" href="/articles/clostridioides-difficile-colitis"><em> </em></a><em><a title="Clostridioides difficile colitis" href="/articles/clostridioides-difficile-colitis">difficile</a><a href="/articles/clostridioides-difficile-colitis"> </a></em><a href="/articles/clostridium-difficile-colitis">colitis</a> to be made: recent treatment of a LRTI, no known history of IBD, and in particular, haustral thickening with ascites. This pattern of findings is seen relatively more frequently in this type of colitis. The haustral thickening sometimes leads to a finding known as the <a href="/articles/accordion-sign-colon">accordion sign</a>.</p><p>The <em>C. difficile</em> toxin tests were subsequently found to be positive.</p>

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Clostridium difficile colitis
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