title: [Septic shock due to a community acquired Clostridium difficile infection. A case study and a review of the literature].
abstract: 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.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: Bermejo
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, España. Electronic address: emilio.maseda@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Maseda
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, España.
authors.forename: P
authors.initials: P
authors.lastname: Salgado
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, España.
authors.forename: G
authors.initials: G
authors.lastname: Gabilondo
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, España.
authors.forename: F
authors.initials: F
authors.lastname: Gilsanz
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D016360:Clostridioides difficile / Q000302:isolation & purification*; D003082:Colectomy / Q000379:methods; D017714:Community-Acquired Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D003951:Diagnostic Errors; D004108:Dilatation, Pathologic / Q000209:etiology; D004761:Enterocolitis, Pseudomembranous / Q000150:complications* / Q000175:diagnosis; D006440:Hemofiltration; D006801:Humans; D007422:Intestines / Q000098:blood supply / Q000473:pathology; D007511:Ischemia / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D012772:Shock, Septic / Q000209:etiology* / Q000382:microbiology
keywords: Clostridium difficile; Community-acquired Clostridium difficile infection; Infección por Clostridium difficile adquirida en la comunidad; Septic shock; Shock séptico