Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Japan.
Intern Med. 2023 Jun 15;62(12):1757-1763. doi: 10.2169/internalmedicine.0571-22. Epub 2022 Oct 26.
Infectious enteritis is common in patients with inflammatory bowel disease (IBD). This case presented a young woman who underwent remission maintenance therapy for ulcerative colitis (UC). She was suspected of having concomitant Clostridioides difficile and Edwardsiella tarda infections. The patient's symptoms did not improve after initial antibiotic therapy; thus, the treatment strategy was modified to include an intravenous corticosteroid to treat the UC flare-up. Her symptoms significantly improved after corticosteroid administration. This is the first report of a case in which concomitant C. difficile and E. tarda infections occurred with UC flare-up.
传染性肠炎在炎症性肠病(IBD)患者中很常见。本病例报告了一位接受溃疡性结肠炎(UC)缓解维持治疗的年轻女性。她被怀疑同时患有艰难梭菌和迟钝爱德华菌感染。初始抗生素治疗后,患者症状未见改善;因此,治疗策略改为静脉用皮质类固醇治疗 UC 发作。皮质类固醇给药后,她的症状显著改善。这是首例报告 UC 发作时同时发生艰难梭菌和迟钝爱德华菌感染的病例。