Clostridium difficile colitis: CT findings and differential diagnosis.
Radiol Med
; 124(12): 1185-1198, 2019 Dec.
Article
en En
| MEDLINE
| ID: mdl-31302848
ABSTRACT
Clostridium difficile infection (CDI) is a severe and potentially deadly infectious colitis whose incidence is dramatically increasing in the last decades, with more virulent strains. CDI should be suspected in case of unexplained diarrhea and abdominal pain in patients with a recent history of antibiotic use and healthcare exposures; diagnosis is based on a combination of clinical and laboratory findings with demonstration of C. difficile toxins by stool test. The advantages of contrast-enhanced computed tomography (CECT) are the noninvasiveness and the ability to evaluate both the colonic wall and the adjacent soft tissues. Considerable overlap exists between the CECT findings of CDI and those of colitis of other origins, such as typhlitis, ischemic colitis, graft-versus-host disease, radiation colitis and inflammatory bowel diseases; however, some features may help distinguish between these conditions. This paper provides a comprehensive overview of the imaging features of Clostridium difficile colitis and its mimics, with a view to assist the radiologist in reaching the correct diagnosis.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
3_ND
Problema de salud:
3_diarrhea
/
3_zoonosis
Asunto principal:
Enterocolitis Seudomembranosa
/
Tomografía Computarizada por Rayos X
/
Clostridioides difficile
/
Colon
/
Medios de Contraste
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
Radiol Med
Año:
2019
Tipo del documento:
Article
País de afiliación:
Italia