Pseudomembranous colitis

Case contributed by Dr Jeremy Jones

Presentation

Abdominal pain and diarrhoea.

Patient Data

Age: 70
Gender: Male
X-ray

Admission plain film

.

CT

Pancolitis with minimal pericolonic fat stranding or free fluid.

Case Discussion

Pancolitis with a history of diarrhoea and no PR bleeding is highly suggestive of an infective aetiology.  While other differentials of colitis should be considered, infection (particular C. diff.) needs to be actively excluded.

The stool was proven to contain C. difficile toxin and oral (via PEG tube) antibiotics (vancomycin) started.  It is worth noting that the antibiotic therapy must be administered by the oral route in order to be effective.

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Case information

rID: 14432
Case created: 25th Jul 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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