THE FEATURES OF DIAGNOSIS AND TREATMENT IN THE CASE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE COMPLICATED BY CLOSTRIDIUM DIFFICILE
Abstract:
Clostridium Difficile infection (CDI) is located in the abdomen which can have a low healing rate
and an adverse outcome. The patients complain about specific abdominal symptoms, with unpredictable
evolution and various complications, sometimes fatal. The occurrence of respiratory decompensation in the
lungs, in a bronhopat patient, as well as the occurrence of other infections such as CDI, in our case, when
antibiotic therapy is needed and cannot be interrupted, is a rare complication, which raises issues of
differential diagnosis and treatment. We present the case of a man known of having been suffering from
chronic obstructive pulmonary disease (COPD) for many years, an outpatient with intermittent
bronchodilator treatment with cardiac pathology, Madelung disease with surgery in history, complicated by
infectious diarrhea syndrome, dyspnea with severe orthopnea, bilateral pleurisy, renal dysfunction and
undiagnosed anemia. The chest computer tomograph examination revealed bilateral pleural effusion,
pulmonary radiography showed increased cord whereas the cultures taken from tracheobronchial secretions
and stool have identified methicillin-resistant Staphylococcus aureus (MRSA), Candida sp. and Clostridium
Difficile, as etiologic agents of abdominal and lung infection. The optimal antibiotic treatment, to maintain
respiratory function, represented the touchstone, taking into account the abdominal infectious complication
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