"Concomitant Lymphocytic Colitis With Recurrent Clostridium difficile I" by Noor M. Suleiman, Maya Baiyasi et al.
 

Concomitant Lymphocytic Colitis With Recurrent Clostridium difficile Infection.

Document Type

Article

Publication Date

1-3-2024

Publication Title

Cureus

Abstract

Microscopic colitis is a clinicopathological diagnosis that is characterized by chronic microscopic inflammation of the colon and presents with chronic watery diarrhea. There are following two subtypes of microscopic colitis: lymphocytic colitis and collagenous colitis. This is a case of a 70-year-old female with a history of Clostridium difficile infections who presented with persistent watery diarrhea and was diagnosed with lymphocytic colitis in the setting of a concomitant C. difficile infection. Given her clinical presentation, the patient was initiated on empiric treatment for C. difficile infection and showed a lack of clinical improvement with persistent watery diarrhea and elevated white blood cell count. The patient's symptoms resolved upon the confirmatory diagnosis and treatment of lymphocytic colitis. This study illustrates the importance of assessing for, diagnosing, and treating lymphocytic colitis in patients with chronic non-resolving watery diarrhea, especially in the setting of concomitant or recurrent C. difficile infections. Additionally, it emphasizes the need for further characterization of the relationship between C. difficile infection and microscopic colitis.

Volume

16

Issue

1

First Page

e51606

DOI

10.7759/cureus.51606

ISSN

2168-8184

PubMed ID

38313897

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