Atypical Presentation of C. Difficile Infection: Report of a Case with Literature Review
| Autor: | Salman Khan, Arooge Towheed, Alan R. Salkind, Aref A. Bin Abdulhak, Sibghat Tul Llah, Nancy R Tilson-Mallett |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Infectious Disease Gastroenterology Enteritis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Internal Medicine lack of diarrhea Leukocytosis business.industry General Engineering Clostridium difficile medicine.disease Surgery c.difficile enteritis Diarrhea medicine.anatomical_structure leukocytosis 030220 oncology & carcinogenesis Vomiting Vancomycin Abdomen 030211 gastroenterology & hepatology medicine.symptom business medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Clostridium difficile (C. difficile) is a gram-positive, obligate, anaerobic spore-forming bacillus first reported by Hall and O'Toole in 1935. It occurs mostly after antibiotic use and invariably presents with watery diarrhea. We describe an atypical presentation of C. difficile in a 64-year-old Caucasian female who presented to the our emergency department with abdominal pain, nausea, and vomiting for one day. A complete blood count revealed leukocytosis 30 x 10(9)/L and a subsequent computed tomography (CT) scan of the abdomen and the pelvis, showed fluid filled small bowel loops consistent with enteritis. Her presentation was unusual for lack of diarrhea, the hallmark of C. difficile infection. She was admitted and treated with oral vancomycin. The polymerase chain reaction (PCR) value in the stool for C. difficile was positive. The patient responded very well: her abdominal pain resolved and leukocyte count normalized after a few doses of vancomycin (125 mg po qid). The patient's progress was followed in our clinic for the last three months. |
| Databáze: | OpenAIRE |
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