Pseudomembranous colitis complicated with toxic megacolon. Report of a case |
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Authors: | J Fernández-Guisasola D Requejo E Herrero J Palencia C Trigo A Peral |
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Affiliation: | Servicio de Anestesiología y Reanimación, Clínica Puerta de Hierro, Madrid. |
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Abstract: | We present a patient who developed pseudomembranous colitis a few days after suffering serious multiple traumas and after receiving a variety of antibiotic treatments. The patient, whose condition was further complicated by toxic megacolon, underwent subtotal colectomy and ileostomy. Toxic megacolon is a rare complication of enterocolitis due to C. difficile and is associated with a high rate of mortality. We review the cases published to date, describe the pathogenesis of the condition, and discuss the diagnostic criteria for pseudomembranous colitis, emphasizing treatment and possible complications. |
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