Abstract
An 85 year-old male initially admitted for septic shock due to urinary tract infection experienced Clostridium difficile-associated diarrhea during hospitalization and was treated by oral vancomycin. His clinical course was complicated by cytomegalovirus colitis and then vancomycin-resistant Clostridium innocuum bacteremia, which was cured by uneventfully parenteral piperacillin-tazobactam therapy.
Keywords:
Clostridium difficile infection; Clostridium innocuum; Cytomegalovirus colitis; Oral vancomycin.
Copyright © 2014 Elsevier Ltd. All rights reserved.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Administration, Oral
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Aged, 80 and over
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Anti-Bacterial Agents / administration & dosage*
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Bacteremia / microbiology*
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Clostridium / classification*
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Clostridium / drug effects*
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Clostridium / isolation & purification
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Clostridium Infections / complications
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Clostridium Infections / diagnosis
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Clostridium Infections / drug therapy*
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Clostridium Infections / microbiology
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Cytomegalovirus Infections / diagnosis
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Humans
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Male
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Penicillanic Acid / administration & dosage
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Penicillanic Acid / analogs & derivatives
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Piperacillin / administration & dosage
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Piperacillin, Tazobactam Drug Combination
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Treatment Outcome
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Vancomycin / administration & dosage*
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Vancomycin Resistance*
Substances
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Anti-Bacterial Agents
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Piperacillin, Tazobactam Drug Combination
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Vancomycin
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Penicillanic Acid
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Piperacillin