Case Report
A Rare Case of Pseudomembranous Colitis Presenting with Pleural Effusion and Ascites with Literature Review
Table 2
Summary of case reports on CDI presenting with hydrothorax and ascites as the main symptoms.
| Study by | Year | Age (y) | Primary disease | Antibiotics treatment before CDI/duration | Pleural effusion | Ascites | Antibiotic/duration | Outcome |
| Shen et al. [12] | 2009 | 61 | Ulcerative colitis/10 d after intestinal operation | Ampicillin IV/NG | − | + | Vancomycin PO/NG metronidazole IV/NG | Died | Dong in nam et al. [13] | 2015 | 80 | Hypertension | Ceftriaxone 2.0 g/day | + | + | | Cured | Tsourous et al. [14] | 2007 | 60 | Type 2 diabetes/PAOD/soft tissue infection combined with osteomyelitis | Amoxicillin, clindamycin PO/40 d | − | + | Vancomycin PO/NG | Cured | Boaz et al. [15] | 2000 | 25 | Oral cavity infection | Clindamycin PO/10 d | + | + | Vancomycin PO/NG | Cured | Pang et al. [4] (according to the narration) | 2015 | 71 | Gastrointestinal bleeding due to cirrhosis | Ceftriaxone IV/14 d | − | + | Ornidazole PO/14 d | Cured | Zukerman et al. [16] | 1997 | 54 | AIDS/pneumocystosis | SMX, RMP PO/7 m | − | + | – | Died | 48 | Heroin IV usage/URI | Erythromycin NG/7d | − | + | Metronidazole NG/NG | Cured | 30 | AIDS/P. aeruginosa pneumonia | Ceftazidime, gentamicin IV/NG | − | + | Vancomycin PO/14 d | Cured | 33 | AIDS | SMX, fluconazole NG/NG | − | + | Metronidazole/PO/14 d | Cured | 58 | CAP | Erythromycin NG/6 d | − | + | Metronidazole PO/21 d | Cured | Zwiener et al. [17] | 1982 | 2.5 | Otitis media | Amoxicillin NG/10 d | + | + | Vancomycin PO/14 d | Relapsed | Yujian Liang et al. [4] | 2020 | 6 | Diffuse large B cell lymphoma | Vancomycin, imipenem IV/3 d | + | + | Vancomycin PO/12 d | Cured | Alsultan MH et al. [18] | 2021 | 25 | End-stage renal disease (ESRD) | Levofloxacin, ceftazidime, metronidazole | + | + | vancomycin (250 mg/4 times daily) metronidazole (500 mg/3 times daily) | Cured | Our case | 2021 | 72 | COVID-19 | Cefixime, gentamicin | + | + | Vancomycin PO/14 d metronidazole/PO/14d | Cured |
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