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Unusual Localization of Clostridium Difficile Infection in an Isolated Segment of the Descending Colon in a Critical Care Patient
Joint Authors
Gruenbaum, Benjamin F.
Borer, Abraham
Brotfain, Evgeni
Klein, Moti
Peiser, Jochanan G.
Frenkel, Amit
Koyfman, Leonid
Zlotnik, Alexander
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Unrecognized severe pseudomembranous colitis may become life threatening.
A typical Clostridium difficile infection is associated with involvement of the colon; however, small bowel disease has also been described.
Here, we present a case of a 48-year-old man with Clostridium difficile colitis of an isolated segment in the descending colon treated by a novel catheter intraluminal antibiotic irrigation.
The intraluminal antibiotic irrigation was performed through a Foley catheter inserted into the isolated mucus fistula.
The patient recovered after three weeks of intraluminal vancomycin (250 mg diluted in 150 ml of normal saline x Q6) and metronidazole (500 mg x Q8).
Both antibiotics were given into the mucus fistula over 30 min.
The patient was discharged from the unit four weeks after admission.
This novel technique, in which the antibiotic was administered through an inserted intraluminal Foley urinary catheter, may be an efficient and safe alternative when conventional routes cannot be implemented.
American Psychological Association (APA)
Brotfain, Evgeni& Koyfman, Leonid& Frenkel, Amit& Peiser, Jochanan G.& Borer, Abraham& Gruenbaum, Benjamin F.…[et al.]. 2012. Unusual Localization of Clostridium Difficile Infection in an Isolated Segment of the Descending Colon in a Critical Care Patient. Case Reports in Surgery،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-475149
Modern Language Association (MLA)
Brotfain, Evgeni…[et al.]. Unusual Localization of Clostridium Difficile Infection in an Isolated Segment of the Descending Colon in a Critical Care Patient. Case Reports in Surgery No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-475149
American Medical Association (AMA)
Brotfain, Evgeni& Koyfman, Leonid& Frenkel, Amit& Peiser, Jochanan G.& Borer, Abraham& Gruenbaum, Benjamin F.…[et al.]. Unusual Localization of Clostridium Difficile Infection in an Isolated Segment of the Descending Colon in a Critical Care Patient. Case Reports in Surgery. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-475149
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475149