A case of Clostridium difficile bacteremia in a patient with loop ileostomy

Ann Lab Med. 2013 May;33(3):200-2. doi: 10.3343/alm.2013.33.3.200. Epub 2013 Apr 17.

Abstract

Clostridium difficile, an anaerobic, spore-forming, gram-positive, rod-shaped bacterium, is the most common nosocomial pathogen causing pseudomembranous colitis. C. difficile is not intrinsically invasive and rarely infects extraintestinal sites. The bacterium, therefore, is not commonly detected in blood cultures. Here, we report a case of C. difficile bacteremia in a patient who had underwent loop ileostomy because of rectal obstruction following metastatic colon cancer originated from prostate cancer.

Keywords: Bacteremia; Clostridium difficile; Loop ileostomy.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bacteremia / drug therapy*
  • Clostridioides difficile / genetics
  • Clostridioides difficile / isolation & purification*
  • Colonic Neoplasms / pathology
  • Colonic Neoplasms / secondary
  • Enterocolitis, Pseudomembranous / drug therapy
  • Enterocolitis, Pseudomembranous / microbiology
  • Humans
  • Ileostomy
  • Male
  • Middle Aged
  • Prostatic Neoplasms / pathology
  • RNA, Ribosomal, 16S / chemistry
  • RNA, Ribosomal, 16S / genetics
  • Sequence Analysis, RNA

Substances

  • Anti-Bacterial Agents
  • RNA, Ribosomal, 16S