In spite of this regimen his stool output remained greater than 1,000 mL/day. Due to lack of clinical improvement 48 hours later the treatment was switched to oral vancomycin (125 mg every six hours) combined with parenteral metronidazole (500 mg IV every eight hours). Oral metronidazole (500 mg every six hours) was commenced. difficile assay by Cepheid® (Sunnyvale, CA), which detects three targets: toxin B, binary toxin and the tcdc deletion, was positive. Clostridium difficile toxin assay by PCR using the commercially available Xpert®, C. He was admitted with profuse watery diarrhea, dehydration, leukocytosis, acute kidney injury, hypoalbuminemia and diffuse colonic wall thickening on CT scan. difficile pseudomembranous colitis.Ī 71-year-old man with peripheral vascular disease developed severe diarrhea after receiving several antimicrobials for a femoral popliteal graft surgical site infection.

We describe our successful experience with colonoscopic fecal transplant in a case of severe refractory C. See moreĬlostridium difficile colitis has become one of the most common healthcare-associated infections and a significant contributor to morbidity and mortality, especially among elderly hospitalized patients. The journal accepts original articles, scientific letters, review articles, clinical guidelines, consensuses, editorials, letters to the Editors, brief communications, and clinical images in Gastroenterology in Spanish and English for their publication. The scientific works include the areas of Clinical, Endoscopic, Surgical, and Pediatric Gastroenterology, along with related disciplines. The principal aim of the journal is to publish original work in the broad field of Gastroenterology, as well as to provide information on the specialty and related areas that is up-to-date and relevant. Its pages are open to the members of the Association, as well as to all members of the medical community interested in using this forum to publish their articles in accordance with the journal editorial policies. The Revista de Gastroenterología de México (Mexican Journal of Gastroenterology) is the official publication of the Asociación Mexicana de Gastroenterología (Mexican Association of Gastroenterology).

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