Editor's quiz: GI snapshot
Fulminant Clostridium difficile colitis
Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Correspondence to:
Dr J M Jansen, Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; j.m.jansen@olvg.nl
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
A 39-year-old man with an unremarkable previous medical history was referred because of sepsis with multi-organ failure. He had undergone an ileocaecal resection in another hospital because of a peri-appendicular infiltrate complicated with an abdominal compartment syndrome. Because of diarrhoea, a sigmoidoscopy was performed, showing typical pseudomembranes as seen with Clostridium difficile infection. The patient was treated with vancomycine 125 mg four times daily and 1 g rectally combined with metronidazol 500 mg three times daily for 14 days. Less than a week after discontinuation of the antibiotics, he again developed diarrhoea and fever. At colonoscopy, once more a pseudomembranous colitis was seen. Vancomycin was started at a higher dose of 500 mg four times daily. His condition deteriorated and computer tomography (
figs 1 and 2) was performed.
Figure 1 Abdominal CT scan.
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Figure 2 Abdominal CT scan.
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QUESTION
What does the computer tomography scan of the abdomen show? See page 24 for
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ANSWER
Gut 2008 57: 24.[Extract] [Full Text] [PDF]
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