モリモト　サトシ   MORIMOTO Satoshi   森本　聡    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Community-acquired Clostridium difficile-associated diarrhea in a patient on chronic peritoneal dialysis.
掲載誌名	正式名：Clinical nephrology 略　 称：Clin Nephrol ISSNコード：03010430/03010430
掲載区分	国外
巻・号・頁	74(2),pp.141-3
著者・共著者	Seo M, Takahashi N, Morita T, Morimoto S, Iwasaka T
発行年月	2010/08
概要	A 66-year-old woman on chronic peritoneal dialysis was admitted because of intermittent diarrhea and abdominal pain, and anorexia for 1 month. She had not been given antibiotics nor hospitalized for at least 6 months prior to the onset of symptoms. Clostridium difficile and its toxin were detected in the stool and Clostridium difficile-associated diarrhea (CDAD) was diagnosed. Colonoscopic examination revealed pseudomembrane formation and colitis in the whole colon. Clostridium difficile and its toxin became negative 12 days after vancomycin administration. Thus, clinical suspicion to CDAD is important in dialysis patients presenting with abdominal symptoms even if it is apparently community-acquired with no history of antibiotic use and hospitalization.
DOI	10.5414/cnp74141
PMID	20630134