PMID- 33790728
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210402
IS  - 1662-0631 (Print)
IS  - 1662-0631 (Electronic)
IS  - 1662-0631 (Linking)
VI  - 15
IP  - 1
DP  - 2021 Jan-Apr
TI  - Concomitant Vancomycin-Resistant Enterococcus faecium and Clostridium difficile 
      Colitis.
PG  - 372-378
LID - 10.1159/000513165 [doi]
AB  - Colitis is a chronic gastrointestinal system disease characterized by 
      inflammation of the inner lining of the colon. Infectious colitis is one of the 
      most common causes of colitis and is associated with significant mortality and 
      morbidity. One of the rare causes of colitis includes vancomycin-resistant 
      Enterococcus faecium (VRE). Lately, the prevalence of VRE has significantly 
      increased in hospitals. We present a case of a 32-year-old American man who was 
      initially admitted because of bilateral lower extremity weakness. The hospital 
      course was complicated, with acute hypoxic respiratory failure secondary to 
      pneumonia. The patient was intubated and was started on broad-spectrum 
      antibiotics. Later on, the patient had severe diarrhea and was found to have 
      clostridium difficile infection. Patient symptoms persisted despite completing 
      the course of antibiotics. Colonoscopy was performed, and the patient was found 
      to have a diffuse area of severely altered vascular, congested, erythematous, 
      friable with contact bleeding, hemorrhagic, inflamed, nodular, and ulcerated 
      mucosa in the sigmoid colon, in the descending colon, and the transverse colon. A 
      biopsy was sent, and the patient was found to be growing VRE. Currently, there is 
      no effective treatment available for VRE. Hospitals need to have an active 
      surveillance program to identify these patients so that the infection does not 
      spread to other patients.
CI  - Copyright (c) 2021 by S. Karger AG, Basel.
FAU - Mehershahi, Shehriyar
AU  - Mehershahi S
AD  - Department of Gastroenterology, Bronxcare Health System, Bronx, New York, USA.
FAU - Ghazanfar, Haider
AU  - Ghazanfar H
AD  - Department of Medicine, Bronxcare Health System, Bronx, New York, USA.
FAU - Ashraf, Shoaib
AU  - Ashraf S
AD  - Department of Medicine, Bronxcare Health System, Bronx, New York, USA.
FAU - Shaikh, Danial H
AU  - Shaikh DH
AD  - Department of Gastroenterology, Bronxcare Health System, Bronx, New York, USA.
FAU - Ihimoyan, Ariyo
AU  - Ihimoyan A
AD  - Department of Gastroenterology, Bronxcare Health System, Bronx, New York, USA.
LA  - eng
PT  - Case Reports
DEP - 20210315
PL  - Switzerland
TA  - Case Rep Gastroenterol
JT  - Case reports in gastroenterology
JID - 101474819
PMC - PMC7991278
OTO - NOTNLM
OT  - Clostridium difficile
OT  - Colitis
OT  - Intensive care unit
OT  - Vancomycin-resistant Enterococcus faecium
COIS- None.
EDAT- 2021/04/02 06:00
MHDA- 2021/04/02 06:01
PMCR- 2021/03/15
CRDT- 2021/04/01 06:25
PHST- 2020/11/05 00:00 [received]
PHST- 2020/11/13 00:00 [accepted]
PHST- 2021/04/01 06:25 [entrez]
PHST- 2021/04/02 06:00 [pubmed]
PHST- 2021/04/02 06:01 [medline]
PHST- 2021/03/15 00:00 [pmc-release]
AID - crg-0015-0372 [pii]
AID - 10.1159/000513165 [doi]
PST - epublish
SO  - Case Rep Gastroenterol. 2021 Mar 15;15(1):372-378. doi: 10.1159/000513165. 
      eCollection 2021 Jan-Apr.