Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.

Clostridium difficile´s fulminant colitis is characterized by the development of severe acute inflammation of the colon, associated with systemic toxicity. Fulminant colitis is the most serious form of acute colitis with a mortality of up to 80%. We present the case of a 45-year-old man who presente...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Sultano, Nicolas, Gonzalez Salazar, Esteban, Poggi, Catalina, Higuera, Felipe, Pekolj, Juan
Formato: Artículo revista
Lenguaje:Inglés
Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
colitis
clostridium difficile
pseudomembranous
enterocolitis pseudomembranosa
colite
enterocolite pseudomembranosa
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/37579
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-37579
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Inglés
Español
format Artículo revista
topic colitis
clostridium difficile
pseudomembranous
colitis
clostridium difficile
enterocolitis pseudomembranosa
colite
clostridium difficile
enterocolite pseudomembranosa
spellingShingle colitis
clostridium difficile
pseudomembranous
colitis
clostridium difficile
enterocolitis pseudomembranosa
colite
clostridium difficile
enterocolite pseudomembranosa
Sultano, Nicolas
Gonzalez Salazar, Esteban
Poggi, Catalina
Higuera, Felipe
Pekolj, Juan
Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
topic_facet colitis
clostridium difficile
pseudomembranous
colitis
clostridium difficile
enterocolitis pseudomembranosa
colite
clostridium difficile
enterocolite pseudomembranosa
author Sultano, Nicolas
Gonzalez Salazar, Esteban
Poggi, Catalina
Higuera, Felipe
Pekolj, Juan
author_facet Sultano, Nicolas
Gonzalez Salazar, Esteban
Poggi, Catalina
Higuera, Felipe
Pekolj, Juan
author_sort Sultano, Nicolas
title Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
title_short Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
title_full Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
title_fullStr Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
title_full_unstemmed Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
title_sort fulminant colitis due to clostridium difficile in a patient with a history of liver transplantation: a severe life-threatening complication.
description Clostridium difficile´s fulminant colitis is characterized by the development of severe acute inflammation of the colon, associated with systemic toxicity. Fulminant colitis is the most serious form of acute colitis with a mortality of up to 80%. We present the case of a 45-year-old man who presented to the emergency department with acute abdominal pain, diarrhea and fever. Computed tomography showed circumferential diffuse parietal thickening of the colon, including the rectum, associated with striation of the surrounding tissues and ganglionic formations. In the following hours the patient evolved with worsening of the general condition, increased inotropic requirements and lactic acidosis. Emergency laparotomy was decided and total colectomy was performed. Fulminant Clostridium difficile colitis is a potentially deadly disease. The lability of the pathology in many occasions forces quick decision making, therefore fulminant colitis represents a medical surgical emergency being time crucial. 
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/37579
work_keys_str_mv AT sultanonicolas fulminantcolitisduetoclostridiumdifficileinapatientwithahistoryoflivertransplantationaseverelifethreateningcomplication
AT gonzalezsalazaresteban fulminantcolitisduetoclostridiumdifficileinapatientwithahistoryoflivertransplantationaseverelifethreateningcomplication
AT poggicatalina fulminantcolitisduetoclostridiumdifficileinapatientwithahistoryoflivertransplantationaseverelifethreateningcomplication
AT higuerafelipe fulminantcolitisduetoclostridiumdifficileinapatientwithahistoryoflivertransplantationaseverelifethreateningcomplication
AT pekoljjuan fulminantcolitisduetoclostridiumdifficileinapatientwithahistoryoflivertransplantationaseverelifethreateningcomplication
AT sultanonicolas colitisfulminanteporclostridiumdifficileenpacienteconantecedentesdetrasplantedehigadounacomplicacionpotencialmentemortal
AT gonzalezsalazaresteban colitisfulminanteporclostridiumdifficileenpacienteconantecedentesdetrasplantedehigadounacomplicacionpotencialmentemortal
AT poggicatalina colitisfulminanteporclostridiumdifficileenpacienteconantecedentesdetrasplantedehigadounacomplicacionpotencialmentemortal
AT higuerafelipe colitisfulminanteporclostridiumdifficileenpacienteconantecedentesdetrasplantedehigadounacomplicacionpotencialmentemortal
AT pekoljjuan colitisfulminanteporclostridiumdifficileenpacienteconantecedentesdetrasplantedehigadounacomplicacionpotencialmentemortal
AT sultanonicolas colitefulminantedevidoaclostridiumdifficileempacientecomhistoricodetransplantedefigadoumacomplicacaogravecomriscodevida
AT gonzalezsalazaresteban colitefulminantedevidoaclostridiumdifficileempacientecomhistoricodetransplantedefigadoumacomplicacaogravecomriscodevida
AT poggicatalina colitefulminantedevidoaclostridiumdifficileempacientecomhistoricodetransplantedefigadoumacomplicacaogravecomriscodevida
AT higuerafelipe colitefulminantedevidoaclostridiumdifficileempacientecomhistoricodetransplantedefigadoumacomplicacaogravecomriscodevida
AT pekoljjuan colitefulminantedevidoaclostridiumdifficileempacientecomhistoricodetransplantedefigadoumacomplicacaogravecomriscodevida
first_indexed 2024-09-03T21:03:36Z
last_indexed 2024-09-03T21:03:36Z
_version_ 1809210321947066368
spelling I10-R327-article-375792024-04-08T20:34:04Z Fulminant colitis due to Clostridium Difficile in a patient with a history of liver transplantation: a severe life-threatening complication. Colitis fulminante por Clostridium Difficile en paciente con antecedentes de trasplante de hígado: una complicación potencialmente mortal. Colite fulminante devido a Clostridium Difficile em paciente com histórico de transplante de fígado: uma complicação grave com risco de vida. Sultano, Nicolas Gonzalez Salazar, Esteban Poggi, Catalina Higuera, Felipe Pekolj, Juan colitis clostridium difficile pseudomembranous colitis clostridium difficile enterocolitis pseudomembranosa colite clostridium difficile enterocolite pseudomembranosa Clostridium difficile´s fulminant colitis is characterized by the development of severe acute inflammation of the colon, associated with systemic toxicity. Fulminant colitis is the most serious form of acute colitis with a mortality of up to 80%. We present the case of a 45-year-old man who presented to the emergency department with acute abdominal pain, diarrhea and fever. Computed tomography showed circumferential diffuse parietal thickening of the colon, including the rectum, associated with striation of the surrounding tissues and ganglionic formations. In the following hours the patient evolved with worsening of the general condition, increased inotropic requirements and lactic acidosis. Emergency laparotomy was decided and total colectomy was performed. Fulminant Clostridium difficile colitis is a potentially deadly disease. The lability of the pathology in many occasions forces quick decision making, therefore fulminant colitis represents a medical surgical emergency being time crucial.  La colitis fulminante por Clostridium difficile se caracteriza por el desarrollo de una inflamación aguda severa del colon, asociada a toxicidad sistémica, y es la forma más grave de colitis aguda con una mortalidad de hasta el 80%. Presentamos el caso de un varón de 45 años que acude al servicio de urgencias por dolor abdominal agudo, diarrea y fiebre. La tomografía computarizada mostró engrosamiento parietal difuso circunferencial del colon, incluido el recto, asociado con estriación de los tejidos circundantes y formaciones ganglionares. En las horas siguientes el paciente evolucionó con empeoramiento del estado general, aumento de los requerimientos de inotrópicos y acidosis láctica. Se decide laparotomía de urgencia y se realiza colectomía total. La colitis fulminante por Clostridium difficile es una enfermedad potencialmente mortal. La labilidad de la patología obliga en muchas ocasiones a tomar una rápida conducta, por lo que representa una urgencia médico-quirúrgica siendo el tiempo crucial. A colite fulminante por Clostridium difficile é caracterizada pelo desenvolvimento de inflamação aguda grave do cólon, associada a toxicidade sistêmica. A colite fulminante é a forma mais grave de colite aguda, com mortalidade de até 80%. Apresentamos o caso de um homem de 45 anos que deu entrada no serviço de urgência por dor abdominal aguda, astenia e náuseas. A tomografia computadorizada mostrou espessamento parietal circunferencial difuso do cólon, incluindo o reto, associado a estriação dos tecidos circundantes e formações ganglionares. Nas horas seguintes evoluiu com piora do estado geral, aumento da necessidade de inotrópicos e acidose lática. Foi decidida laparotomia de emergência e realizada colectomia total. A colite fulminante por Clostridium difficile é uma doença potencialmente mortal. A labilidade da patologia em muitas ocasiões obriga a um comportamento rápido e o paciente com colite fulminante representa uma emergência médico-cirúrgica sendo o tempo cirúrgico crucial. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-04-05 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Text Texto Texto text/html text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/37579 10.31053/1853.0605.v80.n1.37579 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 1 (2023); 43-46 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 1 (2023); 43-46 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 1 (2023); 43-46 1853-0605 0014-6722 10.31053/1853.0605.v80.n1 eng spa https://revistas.unc.edu.ar/index.php/med/article/view/37579/44853 https://revistas.unc.edu.ar/index.php/med/article/view/37579/41034 https://revistas.unc.edu.ar/index.php/med/article/view/37579/40946 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

Ejemplares similares