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A case of pseudomembranous colitis presenting with massive ascites
George I Tsourous1, Leonidas G Raftopoulos, Eleni E Kafe
1Department of Internal Medicine, Mediterraneo Hospital, Glyfada, Athens, Greece.
European Journal of Internal Medicine
|June 19, 2007
Summary
Clostridium difficile-associated disease is rising globally. This case highlights pseudomembranous colitis with massive ascites, illustrating evolving antibiotic-associated colitis presentations.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Internal Medicine
Background:
- Clostridium difficile-associated disease (CDAD) incidence is increasing worldwide.
- CDAD presents with a broad spectrum of clinical symptoms, from mild to severe.
- Antibiotic-associated colitis is a significant clinical concern.
Purpose of the Study:
- To report a unique case of pseudomembranous colitis.
- To illustrate the changing clinical patterns of antibiotic-associated colitis.
- To highlight massive ascites as a primary manifestation of CDAD.
Main Methods:
- Case report.
- Clinical case analysis.
- Review of literature on CDAD manifestations.
Main Results:
- A patient presented with pseudomembranous colitis.
- Massive ascites was the predominant clinical feature.
- The case demonstrates an atypical presentation of antibiotic-associated colitis.
Conclusions:
- Pseudomembranous colitis can manifest with unusual symptoms like massive ascites.
- The clinical spectrum of Clostridium difficile-associated disease is evolving.
- Awareness of atypical presentations is crucial for timely diagnosis and management of CDAD.
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