RESISTANT Clostridium difficile
Ronald Simon
Traumamd at nyc.rr.com
Fri Jan 4 15:44:17 GMT 2008
Seen it several times. Very low threshold for colectomy. As soon as they
go on pressors, they get their colon out. Seems to respond better to
vanco enemas but the data is very preliminary. Anytime now i see a WBC
above 30K i think about it.
ron simon
KMATTOX at aol.com wrote:
> In Houston, particular in the suburbs, cases of SEVERE RESISTANT C.
> Difficile are being seen. Resistant to both Flagyl and Vancomycin. WBCs as high
> as 80,000. Often in immunosuppressed patients, but not necessarily in HIV
> infected patients. Seems that the patients are on PPI drugs. I am
> aware of the CDC reports and a few of the recent case reports. From ONE
> hospital in Houston (not mine) I am aware of 6 cases. A couple have had
> operations because even after 8 weeks they were still very sick and at operation
> they had thickened large bowel.
>
> I am reporting this for two reasons:
>
> 1. Have you seen such severe resistance in C.difficile?
> 2. If this is a NEW phenomena, then we need to spread the word.
>
> k
>
>
>
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