Donet Jean A, Laconti Joseph J, Morillas Jose A, Barkin Jodie A, Barkin Jamie S
Department of Medicine, Leonard M. Miller School of Medicine, University of Miami. Miami, Florida, USA.
Department of Medicine, School of Medicine, Universidad Nacional de Trujillo. Trujillo, PerÚ.
Rev Gastroenterol Peru. 2015 Jul-Sep;35(3):262-4.
Clostridium difficile is a major cause of antibiotic-associated diarrhea. We report a patient with complicated Clostridium difficile infection (CDI) who developed rapidly progressive acute respiratory distress syndrome (ARDS), for which CDI was the only identifiable source. CDI should be considered in the differential diagnosis for anyone with diarrhea who presents especially in high-risk groups such as the elderly, hospitalized patients, or those who have had a history of CDI.
艰难梭菌是抗生素相关性腹泻的主要病因。我们报告了一名患有复杂性艰难梭菌感染(CDI)的患者,该患者迅速发展为进行性急性呼吸窘迫综合征(ARDS),而CDI是唯一可确认的病因。对于任何出现腹泻的患者,尤其是老年、住院患者或有CDI病史等高危人群,在鉴别诊断时都应考虑CDI。