| Fulminant postcesarean Clostridium difficile pseudomembranous colitis. | |
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MedLine Citation:
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PMID: 17267888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Pseudomembranous colitis due to Clostridium difficile infection is rarely reported in the obstetric literature. This disease process is associated with prior antibiotic exposure. CASE: A term primigravida was delivered by primary cesarean for failed vacuum extraction. She received Intravenous cefazolin after cord clamping, which was continued for 36 hours for a presumptive diagnosis of endometritis. On day 3, oral amoxicillin and clavulanate was started for suspected cellulitis of the incision. She was readmitted 1 day after her discharge with severe diffuse abdominal pain and distention. Proctoscopy showed pseudomembranous colitis. Colectomy with temporary ileostomy was performed for worsening symptoms and imminent perforation. CONCLUSION: The diagnosis of pseudomembranous colitis should be considered in postpartum women who have low-grade fever, abdominal and gastrointestinal symptoms, and recent antibiotic exposure. |
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Authors:
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Sonia Ghai; Vikas Ghai; Shiraz Sunderji |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 109 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-02-01 Completed Date: 2007-02-20 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 541-3 Citation Subset: AIM; IM |
Affiliation:
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The Toledo Hospital, Toledo, Ohio 43606, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anti-Bacterial Agents / therapeutic use Cesarean Section Clostridium difficile* Colectomy Combined Modality Therapy Diagnosis, Differential Enterocolitis, Pseudomembranous / diagnosis*, drug therapy, pathology, surgery Female Humans Ileostomy Infant, Newborn Postoperative Complications / diagnosis*, drug therapy, pathology, surgery Pregnancy Puerperal Disorders / diagnosis*, drug therapy, pathology, surgery Vacuum Extraction, Obstetrical |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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