关键词: Clostridioides difficile colectomy colitis pregnant

来  源:   DOI:10.36519/idcm.2022.156   PDF(Pubmed)

Abstract:
Clostridioides difficile-associated pseudomembranous colitis (PMC) is a life-threatening inflammatory bowel disease. Here, we aimed to present a 40-year-old woman at 25 weeks of gestation whose pregnancy was terminated earlier than expected. Unfortunately, despite fidaxomicin and oral vancomycin, the patient\'s diarrhea did not improve, and she had to undergo a subtotal colectomy. C. difficile infections developing in pregnant women can be catastrophic for both baby and maternal health. Also, antibiotic stewardship is crucial in the prevention of PMC. Therefore, unnecessary and prolonged use of antibiotics should be avoided.
摘要:
艰难梭菌相关性假膜性结肠炎(PMC)是一种危及生命的炎症性肠病。这里,我们的目的是介绍一名妊娠25周的40岁女性,其终止妊娠的时间比预期提前.不幸的是,尽管非达霉素和口服万古霉素,病人的腹泻没有改善,她不得不接受结肠次全切除术.在孕妇中发展的艰难梭菌感染可能对婴儿和产妇健康都是灾难性的。此外,抗生素管理对预防PMC至关重要。因此,应避免不必要和长期使用抗生素。
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