A case of Clostridium difficile infection complicated by acute respiratory distress syndrome treated with fecal microbiota transplantation

World J Gastroenterol. 2014 Sep 21;20(35):12687-90. doi: 10.3748/wjg.v20.i35.12687.

Abstract

Acute respiratory distress syndrome is a life-threatening disorder caused mainly by pneumonia. Clostridium difficile infection (CDI) is a common nosocomial diarrheal disease. Disruption of normal intestinal flora by antibiotics is the main risk factor for CDI. The use of broad-spectrum antibiotics for serious medical conditions can make it difficult to treat CDI complicated by acute respiratory distress syndrome. Fecal microbiota transplantation is a highly effective treatment in patients with refractory CDI. Here we report on a patient with refractory CDI and acute respiratory distress syndrome caused by pneumonia who was treated with fecal microbiota transplantation.

Keywords: Acute respiratory distress syndrome; Clostridium difficile infection; Fecal microbiota transplantation.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / adverse effects*
  • Biological Therapy / methods*
  • Clostridioides difficile / pathogenicity*
  • Colon / microbiology*
  • Duodenoscopy*
  • Enterocolitis, Pseudomembranous / diagnosis
  • Enterocolitis, Pseudomembranous / microbiology
  • Enterocolitis, Pseudomembranous / therapy*
  • Feces / microbiology*
  • Humans
  • Male
  • Pneumonia, Bacterial / diagnosis
  • Pneumonia, Bacterial / microbiology
  • Pneumonia, Bacterial / therapy*
  • Respiratory Distress Syndrome / diagnosis
  • Respiratory Distress Syndrome / microbiology
  • Respiratory Distress Syndrome / therapy*
  • Sigmoidoscopy
  • Time Factors
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents