Klebsiella pneumonia septic shock and death in a patient with community- acquired Clostridium difficile colitis (CA-CDI):

acquired Clostridium difficile colitis (CA-CDI): Orville D. Heslop, Karen RoyeGreen, Kathleen Coard, and Michael R. Mulvey Department of Microbiology, University of the West Indies, Jamaica, Department of Pathology, University of the West Indies, Jamaica, National Microbiology Laboratory 1015 Arlington St. Winnipeg, MB R3E 3R2 Abstract Background: Clostridium difficile is the major cause of nosocomial antibiotic-associated diarrhea while secondary Gram-negative shock is rarely seen in cases of community-acquired C. difficile infection (CDI). Toxic megacolon and bowel perforation are also unusual clinical outcomes following community-acquired C. difficile infection. We present a 22-year-old female who acquired CDI in the community and subsequently progressed to toxic megacolon, septic shock and death following admission to hospital. To the best of our knowledge, this was the first case type seen in Jamaica.