Document Detail


Fulminant postcesarean Clostridium difficile pseudomembranous colitis.
MedLine Citation:
PMID:  17267888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sonia Ghai; Vikas Ghai; Shiraz Sunderji
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  109     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-01     Completed Date:  2007-02-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  541-3     Citation Subset:  AIM; IM    
Affiliation:
The Toledo Hospital, Toledo, Ohio 43606, USA.
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MeSH Terms
Descriptor/Qualifier:
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:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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