A Case of Clostridium difficile Bacteremia in a Patient with Loop Ileostomy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (15)
- Voth DE, "Clostridium difficile toxins: mechanism of action and role in disease", Clin Microbiol Rev, 18, pp.247~263 (2005)
- Tonna I, "Pathogenesis and treatment of Clostridium difficile infection", Postgrad Med J, 81, pp.367~369 (2005)
- García-Lechuz JM, "Extra-intestinal infections caused by Clostridium difficile", Clin Microbiol Infect, 7, pp.453~457 (2001)
- Jacobs A, "Extracolonic manifestations of Clostridium difficile infections. Presentation of 2 cases and review of the literature", Medicine, 80, pp.88~101 (2001)
- Cho SM, "Clinical risk factors for Clostridium difficileassociated diseases", Braz J Infect Dis, 16, pp.256~261 (2012)
- 이진성, "클로스트리디움 디피실리균 감염 후 발생한 반응성 관절염 1예", 대한류마티스학회지, 16(1), pp.43~47 (2009), 대한류마티스학회
- Spencer RC, "Polymicrobial septicaemia due to Clostridium difficile and Bacteroides fragilis", Br Med J, 289, pp.531~532 (1984)
- Lee NY, "Clostridium difficile bacteremia, Taiwan", Emerg Infect Dis, 16, pp.1204~1210 (2010)
- McGill F, "Monomicrobial Clostridium difficile bacteraemias and relationship to gut infection", J Hosp Infect, 77, pp.170~171 (2011)
- Hemminger J, "Two case reports of Clostridium difficile bacteremia, one with the epidemic NAP-1 strain", Infection, 39, pp.371~373 (2011)
- 강현준, "혈변을 동반한 위막성 대장염 3예", Clinical Endoscopy, 42(6), pp.410~414 (2011), 대한소화기내시경학회
- 배현주, "Clostridium difficile 감염의 역학 및 치료", Infection and Chemotherapy, 42(6), pp.362~368 (2010), 대한감염학회
- 이윤정, "최근 10년간 Clostridium difficile 대장염의 임상 양상 변화", 대한소화기학회지, 55(3), pp.169~174 (2010), 대한소화기학회
- 이진호, "Clostridium difficile 감염의 발생률 및 임상 양상; 단일기관 연구", 대한소화기학회지, 55(3), pp.175~182 (2010), 대한소화기학회
- 김희정, "Emergence of Clostridium difficile Ribotype 027 in Korea", Annals of Laboratory Medicine, 31(3), pp.191~196 (2011), 대한진단검사의학회