[Septic shock due to a community acquired Clostridium difficile infection. A case study and a review of the literature]

Rev Esp Anestesiol Reanim. 2014 Apr;61(4):219-22. doi: 10.1016/j.redar.2013.04.005. Epub 2013 Jun 2.
[Article in Spanish]

Abstract

The epidemiology of Clostridium difficile infection has changed in the past decade. The incidence rate of community acquired cases has increased in patients with no typical risk factors. We present a patient who was diagnosed with community-acquired Clostridium difficile infection who presented with acute abdominal pain, and subsequently developed acute renal failure and septic shock. We describe the diagnosis, treatment and outcome and brief review of the literature.

Keywords: Clostridium difficile; Community-acquired Clostridium difficile infection; Infección por Clostridium difficile adquirida en la comunidad; Septic shock; Shock séptico.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Kidney Injury / etiology
  • Clostridioides difficile / isolation & purification*
  • Colectomy / methods
  • Community-Acquired Infections / complications*
  • Community-Acquired Infections / diagnosis
  • Community-Acquired Infections / microbiology
  • Diagnostic Errors
  • Dilatation, Pathologic / etiology
  • Enterocolitis, Pseudomembranous / complications*
  • Enterocolitis, Pseudomembranous / diagnosis
  • Hemofiltration
  • Humans
  • Intestines / blood supply
  • Intestines / pathology
  • Ischemia / diagnosis
  • Male
  • Middle Aged
  • Reoperation
  • Respiration, Artificial
  • Respiratory Insufficiency / etiology
  • Respiratory Insufficiency / therapy
  • Shock, Septic / etiology*
  • Shock, Septic / microbiology