[Fulminant Clostridium difficile colitis].

Clostridium difficile is a common cause of nosocomial diarrhea and it's most difficult Fulminant form is increasing in prevalence and severity in hospitalized patients. The early diagnostics and intensive conservative therapy are essential in the treatment of this ominous disease. The physicians must be aware of the possibility of this disease, when treating patients, who have received preceding antibiotic therapy. These patients have to be followed up in the surgical units. If the general condition of these patients is deteriorating, they must be transferred to emergency units. Surgery becomes mandatory before the development of multi organ failure.