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. 1984 Feb;3(1):10-3.
doi: 10.1007/BF02032807.

Clostridium difficile colitis associated with the use of antineoplastic agents

Clostridium difficile colitis associated with the use of antineoplastic agents

S D Miller et al. Eur J Clin Microbiol. 1984 Feb.

Abstract

Eight patients are presented in whom treatment with antineoplastic agents, in particular the folic acid antagonist methotrexate, precipitated Clostridium difficile-related diarrhoea and pseudomembranous colitis. The clinical presentation of these patients was identical to that encountered in patients developing antibiotic associated diarrhoea and colitis. Clostridium difficile-related diarrhoea and colitis should be suspected in any patient developing diarrhoea during the course of anti-neoplastic chemotherapy or within three weeks of its cessation. This complication is effectively treated with oral vancomycin.

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