title: A case of Clostridium difficile bacteremia in a patient with loop ileostomy.
abstract: Clostridium difficile, an anaerobic, spore-forming, gram-positive, rod-shaped bacterium, is the most common nosocomial pathogen causing pseudomembranous colitis. C. difficile is not intrinsically invasive and rarely infects extraintestinal sites. The bacterium, therefore, is not commonly detected in blood cultures. Here, we report a case of C. difficile bacteremia in a patient who had underwent loop ileostomy because of rectal obstruction following metastatic colon cancer originated from prostate cancer.
authors.affiliation: Department of Laboratory Medicine, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Jae-Lim
authors.initials: JL
authors.lastname: Choi
authors.forename: Bo-Ram
authors.initials: BR
authors.lastname: Kim
authors.forename: Ji-Eun
authors.initials: JE
authors.lastname: Kim
authors.forename: Kwang-Sook
authors.initials: KS
authors.lastname: Woo
authors.forename: Kyeoung-Hee
authors.initials: KH
authors.lastname: Kim
authors.forename: Jeong-Man
authors.initials: JM
authors.lastname: Kim
authors.forename: Su-Ee
authors.initials: SE
authors.lastname: Lee
authors.forename: Jin-Yeong
authors.initials: JY
authors.lastname: Han
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D016470:Bacteremia / Q000188:drug therapy*; D016360:Clostridioides difficile / Q000235:genetics / Q000302:isolation & purification*; D003110:Colonic Neoplasms / Q000473:pathology / Q000556:secondary; D004761:Enterocolitis, Pseudomembranous / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007081:Ileostomy; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000473:pathology; D012336:RNA, Ribosomal, 16S / Q000737:chemistry / Q000235:genetics; D017423:Sequence Analysis, RNA
chemical_list: D000900:Anti-Bacterial Agents; D012336:RNA, Ribosomal, 16S
keywords: Bacteremia; Clostridium difficile; Loop ileostomy