Marta Piskorz María, Valentina Araya María, Piskorz Eduardo Luis, Sigelboim Daniel
Hospital de Clínicas José de San Martín, Ciudad Autónoma de Buenos Aires, Argentina.
Acta Gastroenterol Latinoam. 2010 Dec;40(4):347-50.
Different diagnostic considerations take place when a diarrhea of recent development and prolonged or atypical course is evaluated. Infectious colitis, including Clostridium difficile colitis, and inflammatory bowel disease are the main diagnosis that we put into consideration. We present a 42-year-old woman that begins with diarrhea of probable infectious cause. Because of the recurrence of the symptoms we arrived to the diagnosis of Clostridium difficile colitis complicating an ulcerative colitis. Clostridium difficile colitis has particular characteristic in the context of an inflammatory bowel disease. We should know them because appropriate treatment improves the prognosis.
在评估近期发生且病程延长或不典型的腹泻时，会有不同的诊断考量。感染性结肠炎，包括艰难梭菌结肠炎，以及炎症性肠病是我们主要考虑的诊断。我们报告一名42岁女性，最初表现为可能由感染引起的腹泻。由于症状反复出现，我们最终诊断为艰难梭菌结肠炎并发溃疡性结肠炎。艰难梭菌结肠炎在炎症性肠病背景下具有特殊特征。我们应该了解这些特征，因为恰当的治疗可改善预后。
