Fulminant Clostridium difficile Enteritis: A Fatal and Rare Cause of Severe Terminal Ileitis with Impending Small Bowel Perforation
Received Date: Mar 16, 2017 / Accepted Date: May 22, 2017 / Published Date: May 26, 2017
Abstract
Clostridium difficile infection in small bowel is a rare clinical condition which is more common in pre-existing gastrointestinal pathologies such as inflammatory bowel disease, prior colectomy or ileostomy and systemic illnesses causing immuno-compromised status. We present a fulminant case of Clostridium difficile enteritis which was preceded by an episode of Salmonella gastroenteritis in an otherwise healthy individual. It is complicated by severe terminal ileitis and multi-organ failure with subsequent laparotomy and small bowel resection finding a near perforation over the diseased segment of the ileum. The clinical characteristics and the importance of this unusual but potentially fatal infection would be discussed.
Keywords: Clostridium difficile; Enteritis; Pseudomembranous colitis; Salmonella; Bowel perforation; Antibiotic
Citation: Cheung SW, Tong YH, Chun L, Chang J (2017) Fulminant Clostridium difficile Enteritis: A Fatal and Rare Cause of Severe Terminal Ileitis with Impending Small Bowel Perforation. Clin Gastroenterol J 2:111.
Copyright: © 2017 Cheung SW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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