Interesting Case of the Month - (IGHP, ICOM) - February
february 2025
Clinical History-
76-year-old male admitted in ICU for past 20 days. Labs -Hb-11.2 mg/ dl, TLC -6010, Plt-1.87
Colonoscopy-
On Colonoscopy- Diffuse ulcers in colon
Microscopic Images-
Histology from biopsy bits showed multiple areas of abrupt volcanic eruptions.
Microbiology
Immunochromatography of stool sample for Clostridium Difficle Toxin B is positive. Glutamate dehydrogenase ‘ GDH’ and Toxin A are negative.
Diagnosis-
Pseudomembranous colitis
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Clostridium difficile is a toxin producing spore forming anaerobic gram positive bacillus responsible for 20 - 30% of antibiotic associated diarrhea and 90% of Pseudomembraneous colitis.
CMV Colitis
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Ulcerative Colitis
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Amoebic Colitis
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