Toxic Megacolon in a Patient with Clostridium Difficile Infection with Diverticulitis. Case Report
نویسندگان
چکیده
Toxic megacolon is a fatal condition defined as rare, life-threatening, acute colonic dilatation of colitis. The case 41-year-old male with history irritable bowel syndrome presented, who starts diarrhea on more than 20 occasions accompanied by blood and mucus, emesis added, fever 39°C. Laboratories hemoglobin 8.1g/dL, positive clostridium difficile toxin AB, glutamate dehydrogenase, simple abdominal tomography distended intestinal loops, presence rectovesical fistula, performing total colectomy ileostomy reporting ischemic colitis, perforation ulcerated areas pseudopolyps. Continued well tolerated feeding. There are reports complication inflammatory disease infection. Total plus the surgical procedure choice when conservative treatment fails. Inflammatory pathology can show in its spectrum various clinical characteristics debut or evolution, so multidisciplinary approach management must be taken from diagnosis.
منابع مشابه
Toxic megacolon secondary to Clostridium difficile colitis. Case report.
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...
متن کاملA Case of Toxic Megacolon Caused by Clostridium difficile Infection and Treated with Fecal Microbiota Transplantation
Clostridium difficile infection. The mortality rate of fulminant C. difficile infection is reported to be as high as 50%. Fecal microbiota transplantation is a highly effective treatment in patients with recurrent or refractory C. difficile infection. However, there are few published articles on the use of such transplantation for fulminant C. difficile infection. Here, we report on a patient w...
متن کاملClostridium difficile toxic megacolon following splenectomy.
A case of toxic megacolon following splenectomy for lymphoma is presented. The aetiology of Clostridial difficile infection is reviewed and the hazards of perioperative prohylactic antibiotics are discussed.
متن کاملBlowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon
We present the case of a 58-year-old man who underwent urgent blowhole colostomy for toxic megacolon (TM) secondary to Clostridium difficile infection (CDI). This infection occurred under antibiotic coverage with amoxicillin-clavulanic acid, four days after laparoscopic sigmoidectomy in our hospital. Although prospective clinical research regarding the surgical management of TM is lacking, deco...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: International journal of medical science and clinical research studies
سال: 2023
ISSN: ['2767-8326', '2767-8342']
DOI: https://doi.org/10.47191/ijmscrs/v3-i1-29