Toxic megacolon due to Salmonella acute infectious colitis requiring total colectomy following loop ileostomy closure

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Acute fulminant pseudomembranous colitis which developed after ileostomy closure and required emergent total colectomy: a case report

INTRODUCTION Pseudomembranous colitis is known to be caused by Clostridium difficile; and, in 3% to 8% of patients, it lapses into an aggressive clinical course that is described as fulminant. We present here a case of extremely rapid and fatal fulminant pseudomembranous colitis that developed after ileostomy closure, a minor surgical procedure. To the best of our knowledge, this is the first c...

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The incidence and severity of Clostridium difficile colitis has markedly increased in recent years. The spectrum of Clostridium difficile infection ranges from asymptomatic colonization to fulminant colitis requiring immediate surgery. Medical therapy failure and the presence of toxic megacolon dictate urgent surgical treatment with unfortunate high mortality rates (35% to 57%). We broach herei...

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ژورنال

عنوان ژورنال: ANZ Journal of Surgery

سال: 2020

ISSN: 1445-1433,1445-2197

DOI: 10.1111/ans.15973