Infectious Colitis
7 results
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Benign Disease- A 57-year-old woman is admitted to the intensive care unit with abdominal distention, diarrhea, and hypotension. Evaluation is significant for white blood cell count of 38,000/mL, lactate of 2.5 mmol/L, and stool cultures positive for Clostridium difficile (C. diff) infection. Computed tomography shows diffuse thickening of the ascending and transverse colon. What is the best surgical intervention?
- A 55-year-old otherwise healthy woman presents with tachycardia, abdominal pain, and diarrhea after taking antibiotics. Computed tomography (CT) shows pancolitis. Infectious workup is positive for Clostridioides difficile (C. diff). She has never had C. diff colitis. What is the initial therapy recommended for her?
- A 75-year-old woman presents with abdominal pain and multiple episodes of diarrhea starting 24 hours prior to presentation. She has had two episodes of Clostridium difficile (C. diff) infection (CDI) in the past 3 months. Stool studies show positive C. diff toxin enzyme immunoassay. Which of the following is the best next step in the treatment of this patient?
- A 30-year-old woman presents with a 6-month history of nonbloody diarrhea. She denies any travel or change in dietary habits. An infectious workup has been negative. What is the best next step?
- A 62-year-old woman presents with profound watery diarrhea. She denies a history of recent antibiotic use. She has no personal history of inflammatory bowel disease (IBD). Stool cultures are negative. The colonoscopy is grossly normal. Biopsies are taken. Of the following, which suggests she has collagenous colitis?
- Anorectal Disease
- Perioperative