{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T11:07:20Z","timestamp":1751454440797,"version":"3.40.4"},"reference-count":24,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,4,24]]},"abstract":"<jats:p>Extraintestinal<jats:italic>Clostridium difficile<\/jats:italic>is rare. A 74-year-old man with a history of ulcerative colitis presented after a fall. Trauma work-up showed liver cirrhosis. Two days later he developed abdominal pain, distension, diarrhoea and leucocytosis. Stool tested positive for<jats:italic>C. difficile<\/jats:italic>. CT abdomen showed pancolitis with toxic megacolon. Total abdominal colectomy and ileostomy with a rectal stump was performed. He was discharged, but was readmitted with sepsis. CT abdomen showed a 10.4\u00d77.2\u2009cm fluid collection in the pelvis.<jats:italic>C. difficile<\/jats:italic>stool was negative. CT-guided abscess drainage grew<jats:italic>C. difficile<\/jats:italic>. Barium enema was negative for communication from the rectal stump to the abscess. The patient was treated with metronidazole for 2 weeks. In summary, extraintestinal<jats:italic>C. difficile<\/jats:italic>can develop from recent antibiotics use, gastrointestinal surgery and microperforations from toxic megacolon. We recommend abscess drainage, concomitant treatment with metronidazole and or vancomycin, and reimaging of abscess location 2\u20134 weeks after cessation of antibiotics.<\/jats:p>","DOI":"10.1136\/bcr-2017-219957","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T03:45:44Z","timestamp":1495511144000},"page":"bcr-2017-219957","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Clostridium difficile<\/i>extraintestinal abscess: a rare complication"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5920-3855","authenticated-orcid":false,"given":"Vamsi Krishna","family":"Kantamaneni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0254-4648","authenticated-orcid":false,"given":"Krishna 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