title: [Left-sided ulcerative colitis reactivated and aggravated during clostridium difficile infection].
abstract: Clostridium difficile (C. difficile) infection appears to be closely related to reactivation, diagnostic delay, and disease progression in patients with inflammatory bowel disease. However, whether C. difficile infection triggers the reactivation of inflammatory bowel disease or vice versa is not certain. We report a case of reactivated and progressed left ulcerative colitis following C. difficile infection in a 56-year-old woman. A series of endoscopic findings in this case report strongly supports a causative role of C. difficile infection on the reactivation and progression of ulcerative colitis.
authors.affiliation: Department of Medicine, Hallym University College of Medicine, Seoul, Korea.
authors.forename: Dong Kil
authors.initials: DK
authors.lastname: Na
authors.forename: Jin Bae
authors.initials: JB
authors.lastname: Kim
authors.forename: Young Chul
authors.initials: YC
authors.lastname: Shin
authors.forename: Su Lin
authors.initials: SL
authors.lastname: Shin
authors.forename: Hyo Jung
authors.initials: HJ
authors.lastname: Kim
authors.forename: Il Hyun
authors.initials: IH
authors.lastname: Baek
authors.forename: Sang Hoon
authors.initials: SH
authors.lastname: Park
authors.forename: Myung Seok
authors.initials: MS
authors.lastname: Lee
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000032:analysis; D016360:Clostridioides difficile / Q000302:isolation & purification*; D003015:Clostridium Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003093:Colitis, Ulcerative / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003113:Colonoscopy; D004359:Drug Therapy, Combination; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D012460:Sulfasalazine / Q000627:therapeutic use; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000890:Anti-Infective Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D008795:Metronidazole; D012460:Sulfasalazine; D014640:Vancomycin; D002097:C-Reactive Protein