Title

Case report: Relapsing fatal clostridium difficile infection in a nursing home resident: Implications for management

Document Type

Journal Article

Publication Date

12-1-1998

Journal

Annals of Long-Term Care

Volume

6

Issue

10

Abstract

A 90-year-old female nursing home resident with Parkinson's disease and chronic constipation presented to the emergency room with a two-month history of recurrent diarrhea, hypotension, and loss of consciousness. Prior treatment had included trimethoprim and sulfamethoxazole for a urinary infection and penicillin for streptococcal pharyngitis. Based on a positive Clostridium difficile toxin assay, the patient had been treated with metronidazole, then vancomycin, then metronidazole again. Within 45 minutes of arrival at the emergency room, the patient expired. © 2007 HMP Communications.

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