| Autor: |
Klimko A; Division of Physiology and Neuroscience, 'Carol Davila' University of Medicine and Pharmacy, 050747 Bucharest, Romania., Tieranu CG; Department of Gastroenterology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Gastroenterology, 'Elias' Emergency University Hospital, 011461 Bucharest, Romania., Curte AM; Department of Pathology, 'Elias' Emergency University Hospital, 011461 Bucharest, Romania., Preda CM; Department of Gastroenterology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Gastroenterology, Fundeni Clinical Institute, 022328 Bucharest, Romania., Tieranu I; Department of Pediatrics, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Olteanu AO; Department of Gastroenterology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Gastroenterology, 'Elias' Emergency University Hospital, 011461 Bucharest, Romania., Ionescu EM; Department of Gastroenterology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Department of Gastroenterology, 'Elias' Emergency University Hospital, 011461 Bucharest, Romania. |
| Abstrakt: |
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. |
