Fulminant small bowel enteritis: a rare complication of Clostridium difficile-associated disease.

摘要

To the Editor:A 54-year-old male was admitted to a community hospital with a 3-month history of diarrhea up to 8 times a day associated with bloody bowel motions and weight loss of 6 kg. He had no past medical history or family history of note. A clinical diagnosis of colitis was made and the patient underwent a limited colonoscopy which demonstrated continuous mucosal inflammation and ulceration that was most .marked in the rectum. The clinical and endoscopic findings were suggestive of acute ulcer-ative colitis (UC), which was subsequently supported by histopathology. The patient was managed with bowel rest and intravenous steroids. However, he developed toxic megacolon on day 4 of his admission and underwent a total colectomy with end ileostomy.