Document Detail

Surgical Outcome of Community-Acquired Clostridium difficile Colitis Presenting as Toxic Megacolon: Case Report.
MedLine Citation:
PMID:  21859335     Owner:  NLM     Status:  In-Data-Review    
Abstract Background: Over the past decade, there has been an increase in both community-acquired and health-care-associated Clostridium difficile colitis secondary to broad-spectrum antibiotic exposure. Toxic megacolon is a rare complication of pseudomembranous colitis that often necessitates emergency colectomy. Methods: Review of the pertinent English-language literature. Results: We present a case of community-acquired C. difficile colitis that made its initial presentation as fulminant toxic megacolon. Six months after a total colectomy, the patient has no complaints. Conclusion: Prompt total colectomy may improve survival in patients with toxic megacolon. The incidence of C. difficile-related toxic megacolon and post-operative outcomes of total colectomy should be investigated in a larger observational study.
Andrea P Mann; Andrew McCague; Fariborz Lalezarzadeh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical infections     Volume:  12     ISSN:  1557-8674     ISO Abbreviation:  Surg Infect (Larchmt)     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815642     Medline TA:  Surg Infect (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  317-20     Citation Subset:  IM    
1 Western University of Health Sciences, College of Osteopathic Medicine of the Pacific , Pomona, California.
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