INTESTINE Vol.19 No.6(8)

Theme Cytomegalovirus enterocolitis and Clostridium difficile infection
Title Clinical manifestations and imaging diagnosis of Clostridium difficile infection
Publish Date 2015/11
Author Seiji Shimizu Division of Gastroenterology, Osaka General Hospital of JR West Railway Company
Author Hideo Tomioka Division of Gastroenterology, Osaka General Hospital of JR West Railway Company
Author Chihiro Yokomizo Division of Gastroenterology, Osaka General Hospital of JR West Railway Company
Author Wataru Fukuda Division of Gastroenterology, Osaka General Hospital of JR West Railway Company
Author Hirokazu Uejima Division of Gastroenterology, Osaka General Hospital of JR West Railway Company
[ Summary ] We describe the symptoms and imaging diagnosis (mainly endoscopic findings). The main symptoms are diarrhea, abdominal pain, and fever. However, diarrhea is sometimes absent. Representative endoscopic findings are pseudomembranes of various degrees but are not necessarily observed. Aphthoid lesions have been reported as alternative findings, but colonoscopy often reveals white spots and rarely normal appearance. By the use of a lavage solution, pseudomembranes may be exfoliated. To avoid misdiagnosis, examiners should be aware of diverse endoscopic findings.
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