[Refractory colitis by Clostridium difficile treated with fecal microbiota transplant]
- PMID: 31487251
[Refractory colitis by Clostridium difficile treated with fecal microbiota transplant]
Abstract
Clostridium difficile infection is an increasingly recognized cause of diarrhea in inpatients, frequently associated to high mortality. Vancomycin is the treatment of choice for all Clostridium difficile- associated diarrheas, with different degrees of severity. However, some patients develop refractory forms to that treatment and there are no alternative antibiotic schemes recommended for these cases. Fecal microbiota transplantation has been shown to be successful in a series of cases of severe diarrhea associated with this organism. We present a case of refractory C. difficile infection successfully treated with fecal microbiota transplantation.
La diarrea por Clostridium difficile es reconocida de manera creciente en pacientes hospitalizados y se asocia con alta mortalidad. La vancomicina por vía enteral es el tratamiento antibiótico recomendado para las diferentes formas, incluso las más graves. Sin embargo, un grupo pequeño de pacientes desarrolla formas refractarias a ese tratamiento y no existen esquemas antibióticos alternativos recomendados para estos casos. El trasplante de microbiota fecal ha demostrado ser exitoso en una serie de casos de diarrea grave asociada a este microorganismo. Presentamos un caso de diarrea refractaria por C. difficile que fue tratada con éxito con una infusión de microbiota fecal.
Keywords: clostridium difficile; diarrhea; fecal microbiota transplant; hospital infection.
Similar articles
-
[Fecal microbiota transplantation in recurrent Clostridium difficile infection. Report of one case].Rev Med Chil. 2015 Apr;143(4):531-5. doi: 10.4067/S0034-98872015000400017. Rev Med Chil. 2015. PMID: 26204547 Spanish.
-
[Fecal microbiota transplant in the treatment of recurrent Clostridium difficile infection: A case report].Rev Med Brux. 2016;37(3):174-177. Rev Med Brux. 2016. PMID: 28525191 French.
-
Clostridium difficile Infection and Fecal Microbiota Transplant.AACN Adv Crit Care. 2016 Jul;27(3):324-337. doi: 10.4037/aacnacc2016703. AACN Adv Crit Care. 2016. PMID: 27959316 Free PMC article. Review.
-
Randomised clinical trial: faecal microbiota transplantation by colonoscopy plus vancomycin for the treatment of severe refractory Clostridium difficile infection-single versus multiple infusions.Aliment Pharmacol Ther. 2018 Jul;48(2):152-159. doi: 10.1111/apt.14816. Epub 2018 May 30. Aliment Pharmacol Ther. 2018. PMID: 29851107 Clinical Trial.
-
Clostridium difficile infection: review.Eur J Clin Microbiol Infect Dis. 2019 Jul;38(7):1211-1221. doi: 10.1007/s10096-019-03539-6. Epub 2019 Apr 3. Eur J Clin Microbiol Infect Dis. 2019. PMID: 30945014 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical