Pseudomembranous colitis

Case contributed by Dr Jeremy Jones

Presentation

Abdominal pain and diarrhea.

Patient Data

Age: 70 years
Gender: Male
X-ray

Admission plain film

.

CT

Pancolitis with minimal pericolonic fat stranding or free fluid.

Case Discussion

Pancolitis with a history of diarrhea and no PR bleeding is highly suggestive of an infective etiology.  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
Published: 25th Jul 2011
Last edited: 18th Dec 2019
Inclusion in quiz mode: Included

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