RESUMEN
La epidemiología de la infección por Clostridium difficile ha cambiado en la última década, aumentando la incidencia de los casos adquiridos en la comunidad en pacientes sin factores de riesgo clásicos. Presentamos el caso de un varón con infección por Clostridium difficile adquirida en la comunidad que ingresó en nuestro centro por dolor abdominal agudo, y desarrolló un cuadro de insuficiencia renal aguda y shock séptico. Se describe el diagnóstico, tratamiento y evolución y se realiza una breve revisión de la bibliografía (AU)
The epidemiology of Clostridium difficile infection has changed in the past decade. The incidence rate of community acquired cases has increased in patients with no typical risk factors. We present a patient who was diagnosed with community-acquired Clostridium difficile infection who presented with acute abdominal pain, and subsequently developed acute renal failure and septic shock. We describe the diagnosis, treatment and outcome and brief review of the literature (AU)
Asunto(s)
Humanos , Masculino , Choque Séptico/complicaciones , Choque Séptico/diagnóstico , Clostridioides difficile/aislamiento & purificación , Clostridioides difficile/patogenicidad , Dolor Abdominal/etiología , Insuficiencia Renal/complicaciones , Insuficiencia Renal/diagnóstico , Choque Séptico/etiología , Infecciones Comunitarias Adquiridas/complicaciones , Infecciones Comunitarias Adquiridas/diagnósticoRESUMEN
The epidemiology of Clostridium difficile infection has changed in the past decade. The incidence rate of community acquired cases has increased in patients with no typical risk factors. We present a patient who was diagnosed with community-acquired Clostridium difficile infection who presented with acute abdominal pain, and subsequently developed acute renal failure and septic shock. We describe the diagnosis, treatment and outcome and brief review of the literature.
