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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