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Case Reports
. 2021 Dec 31:2021:6019068.
doi: 10.1155/2021/6019068. eCollection 2021.

A Rare Case of Pseudomembranous Colitis Presenting with Pleural Effusion and Ascites with Literature Review

Hossain Salehi  1 , Amir Mohammad Salehi  2
Affiliations
Case Reports

A Rare Case of Pseudomembranous Colitis Presenting with Pleural Effusion and Ascites with Literature Review

Hossain Salehi et al. Case Rep Gastrointest Med. .

Abstract

Clostridium difficile infection usually results from long-term and irregular antibiotic intake. The high-risk individuals for this infection include the patients undergoing chemotherapy due to malignancy, immunocompromised patients, and hospitalized patients receiving broad-spectrum antibiotics. The most common clinical manifestation of Clostridium difficile infection is diarrhea. However, pleural effusion and ascites have rarely been observed. As mentioned, these manifestations can be developed in a patient being treated with broad-spectrum antibiotics. Therefore, the present study reports a rare case of Clostridium difficile infection manifesting with these rare manifestations who was a 78-year-old female patient with a history of COVID-19, orthopedic surgery, and antibiotic treatment with cefixime and gentamicin.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Computed tomography (CT) showing the presence of ascites and pleural effusion.
Figure 2
Figure 2
Patient colonoscopic findings (a). The presence of mucopurulent exudates (pseudomembrane) in pathological examinations indicates CDI (b).
See this image and copyright information in PMC

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