Related Experiment Video For Clostridium difficile
Updated: May 6, 2026

Cefoperazone-treated Mouse Model of Clinically-relevant Clostridium difficile Strain R20291
Published on: December 10, 2016
Histologic findings and clinical characteristics in acutely symptomatic ulcerative colitis patients with superimposed
Tao Wang1, Larissa Matukas, Catherine J Streutker
12-099 Carter Wing, St Michael's Hospital, 30 Bond St, Toronto, ON, Canada, M5B 1W8; streutkerc@smh.ca.
Objectives:
To examine biopsy specimens for histologic features suggestive of Clostridium difficile infection in patients with ulcerative colitis (UC).
Methods:
Nine patients with UC had colonic biopsy specimens taken during a symptomatic flare that coincided with positive C difficile (C difficile+) tests. Twenty-eight controls were biopsied during a UC flare but tested negative for C difficile. We reviewed the slides for evidence of pseudomembranes, ischemic-like changes, degree of colitis, and lamina propria hemorrhage.
Results:
In C difficile+ patients, 4 (44.4%) of 9 had microscopic pseudomembranes compared with 11% in controls (P < .05). Other histologic/clinical features were not predictive.
Conclusions:
Although the presence of microscopic pseudomembranes suggests C difficile infection in patients with UC, sensitivity and specificity are poor; biopsy findings do not reliably detect this infection in patients with UC.
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