Ischemic colitis complicated by Clostridioides difficile infection treated with fecal microbiota transplantation
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초록
Ischemic colitis is an inflammatory condition of the colon that results from insufficient blood supply commonly caused by enterocolitis,vessel occlusion, or shock. In contrast, pseudomembranous colitis is a clinical manifestation of Clostridioides difficile infection(CDI). Ischemic colitis caused by CDI has rarely been reported. Fecal microbiota transplantation (FMT) is an efficient treatment for refractoryor fulminant CDI, and the indications for its use have recently expanded. However, performing FMT in patients with ischemiccolitis is challenging because of the risk of perforation. Here, we have presented a case of ischemic colitis caused by CDI that was successfullytreated with FMT via sigmoidoscopy.
Abstract
Ischemic colitis is an inflammatory condition of the colon that results from insufficient blood supply commonly caused by enterocolitis,vessel occlusion, or shock. In contrast, pseudomembranous colitis is a clinical manifestation of Clostridioides difficile infection(CDI). Ischemic colitis caused by CDI has rarely been reported. Fecal microbiota transplantation (FMT) is an efficient treatment for refractoryor fulminant CDI, and the indications for its use have recently expanded. However, performing FMT in patients with ischemiccolitis is challenging because of the risk of perforation. Here, we have presented a case of ischemic colitis caused by CDI that was successfullytreated with FMT via sigmoidoscopy.
참고문헌 (14)
- Cohen SH, "Clinical practice guidelines for Clostridium difficile infection in adults : 2010 update by the Society for Healthcare Epidemiology of America(SHEA)and the Infectious Diseases Society of America(IDSA)", Infect Control Hosp Epidemiol, 31, pp.431~455 (2010)
- Trotter JM, "Ischaemic colitis", BMJ, 355, pp.i6600~ (2016)
- Moulis H, "Antibiotic-associated hemorrhagic colitis", J Clin Gastroenterol, 18, pp.227~231 (1994)
- Kendrick JB, "A rare presentation of ischemic pseudomembranous colitis due to Escherichia coli O157 : H7", Clin Infect Dis, 45, pp.217~219 (2007)
- Moore T, "Fecal microbiota transplantation : a practical update for the infectious disease specialist", Clin Infect Dis, 58, pp.541~545 (2014)
- Kelly CR, "Fecal microbiota transplant for treatment of Clostridium difficile infection in immunocompromised patients", Am J Gastroenterol, 109, pp.1065~1071 (2014)
- Tae-Geun Gweon, "Next Generation Fecal Microbiota Transplantation", Clinical Endoscopy, 54(2), pp.152~156 (2021), 대한소화기내시경학회[DOI]
- Jaber MR, "Clinical review of the management of fulminant clostridium difficile infection", Am J Gastroenterol, 103, pp.3195~3203 (2008)
- Fischer M, "Faecal microbiota transplantation plus selected use of vancomycin for severe-complicated Clostridium difficile infection : description of a protocol with high success rate", Aliment Pharmacol Ther, 42, pp.470~476 (2015)
- Gough E, "Systematic review of intestinal microbiota transplantation(fecal bacteriotherapy)for recurrent Clostridium difficile infection", Clin Infect Dis, 53, pp.994~1002 (2011)
- Gweon TG, "Fecal microbiota transplantation using upper gastrointestinal tract for the treatment of refractory or severe complicated Clostridium difficile infection in elderly patients in poor medical condition : the first study in an Asian country", Gastroenterol Res Pract, 2016, pp.2687605~ (2016)
- 권태근, "A Case of Toxic Megacolon Caused by Clostridium difficile Infection and Treated with Fecal Microbiota Transplantation", Gut and Liver, 9(2), pp.247~250 (2015), 거트앤리버 소화기연관학회협의회
- Martin JSH, "Clostridium difficile infection : epidemiology, diagnosis and understanding transmission", Nat Rev Gastroenterol Hepatol, 13, pp.206~216 (2016)
- Fischer M, "Predictors of early failure after fecal microbiota transplantation for the therapy of Clostridium difficile infection : a multicenter study", Am J Gastroenterol, 111, pp.1024~1031 (2016)