Research Article
Indications and Relative Utility of Lower Endoscopy in the Management of Clostridium difficile Infection
Table 4
Treatment: initial therapy, course/followup, overall outcome.
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*One patient in the no change in therapy group was on oral vancomycin (allergic to metronidazole) with bone marrow transplant and C. difficile, CMV, and graft versus host disease. The first endoscopy demonstrated a negative biopsy, and there was no change in therapy. The patient did not improve, and a second endoscopy was performed demonstrating PMC and on biopsy CMV colitis. He progressed to multisystem organ failure and died. +One patient in the surgery category had two endoscopies: one endoscopy prior to surgery and one endoscopy after surgery to assess the ileostomy and mucus fistulotomy. |