Clostridium Difficile Enteritis

by Carlo Raj, MD

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    Infections of an GI continued Pseudomembranous colitis, it is the complication of the bacteria, <i>C. diff.</i> Meaning to say in a hospital setting, the patient was given antibiotics, all the competitors for<i> C. diff</i> were killed off. The bacteria that ends up on top of the mountain is your <i>C. diff</i> causing your pseudomembranous colitis. Diarrhea, fever, leucocytosis Complications you are worried about, megacolon and perforation. And so therefore colonoscopy shows psuedomembranes. Your diagnosis based on toxin assay. The treatment <i>for C. diff</i> would in fact be Metronidazole or perhaps oral Vanco but your drug of choice even to this day would be Metronidazole. Recurrence in 15% requires prolonged antibiotics for <i>Clostridium difficile</i> is our topic. Let's go ahead and take a look at that pseudomembranous colitis. And if you were to then take a look at the colon here, you would notice here that it looks like a pseudomembrane. And it perhaps looks like ulcerative colitis and company but it's not, it's a pseudomembrane....

    About the Lecture

    The lecture Clostridium Difficile Enteritis by Carlo Raj, MD is from the course Small and Large Intestine Diseases.

    Included Quiz Questions

    1. Abnormally large dilated bowel loops
    2. Twisted bowel
    3. Diverticular shadow
    4. Multiple polypoidal masses
    5. A nodule like area at the junction pylorus and 1st part of duodenum
    1. Clostridium Difficle
    2. Vibrio cholerae
    3. E. coli
    4. Salmonella typhae
    5. Botulinum toxin
    1. Surgical resection is the treatment of choice.
    2. Antibiotics kill all other competitive bacteria and allow clostridium difficle to form pseudomembranes.
    3. Colonoscopy biopsy aids in diagnosis.
    4. Bacterial toxin assay aids in diagnosis.
    5. Prolonged usage of antibiotics causes pseudomembranous colitis.

    Author of lecture Clostridium Difficile Enteritis

     Carlo Raj, MD

    Carlo Raj, MD

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