Pseudomembranous colitis related to valaciclovir: a clinical case

Authors

  • Rui Gomes Serviço de Medicina do Hospital Garcia de Orta, Almada
  • Margarida Coelho Serviço de Medicina do Hospital Garcia de Orta, Almada

Keywords:

Clostridium difficile, colitis, diarrhea, pseudomembranous colitis and valaciclovir

Abstract

Clostridium difficile is a microbiological agent essentially nosocomial. In the last few years there have been important changes in its
epidemiology. Nowadays Clostridium difficile associated disease is
considered one of the most reported nosocomial diseases. There
is also evidence of an increasing number of cases in the community, with data suggesting increasing pathogen’s aggressiveness.
Antibiotics play a crucial role in the disease physiopathology.
Clindamycin, cephalosporins and penicillins are the higher risk
antibiotics, nevertheless, any antimicrobial agent can facilitate a
Clostridium difficile infection.
Given the theme relevance, the authors present a clinical report
of a case of pseudomembranous colitis secondary to valaciclovir,
a rare association according to literature.

Downloads

Download data is not yet available.

References

Bartlett JG. Historical perspectives on studies of Clostridium difficile and C. difficile infection. Clin Infect Dis 2008 ;46 (1):S4-11.

Yassin SF, Young-Fadok TM, Zein NN, Pardi DS. Clostridium difficile-associated diarrhea and colitis. Mayo Clin Proc 2001;76(7):725-730.

Owens RC Jr, Donskey CJ, Gaynes RP, Loo VG, Muto CA. Antimicrobial-associated risk factors for Clostridium difficile infection. Clin Infect Dis

;46 (1):S19-31. Review

Poutanen SM, Simor AE. Clostridium difficile - associated diarrhea in adults. CMAJ 2004;171(1):51-58.

Kelly CP, LaMont JT. Clostridium difficile - more difficult than ever. N Engl J Med 2008;359(18):1932-1940. Review.

De Andrés S, Ferreiro D, Ibánez M, Ballesteros A, García B, Agud JL. Clostridium difficile colitis associated with valaciclovir. Pharm World Sci

;26(1):8-9.

Bartlett JG, Gerding DN. Clinical recognition and diagnosis of Clostridium difficile infection. Clin Infect Dis 2008;46 (1):S12-18. Review.

Gerding DN, Muto CA, Owens RC Jr. Treatment of Clostridium difficile infection. Clin Infect Dis 2008;46 (1):S32-42. Review.

Zar FA, Bakkanagari SR, Moorthi KM, Davis MB. A comparison of vancomycin and metronidazole for the treatment of Clostridium difficile-associated diarrhea, stratified by disease severity. Clin Infect Dis 2007;45(3):302-307.

McFarland LV, Surawicz CM, Greenberg RN, Fekety R, Elmer GW, Moyer KA, Melcher SA, Bowen KE, Cox JL, Noorani Z et al. A randomized placebo-controlled trial of Saccharomyces boulardii in combination with standard antibiotics for Clostridium difficile disease. JAMA 1994;271(24):1913-1918.

Mimidis K, Papadopoulos V, Margaritis V, Thomopoulos K, Gatopoulou A, Nikolopoulou V, Kartalis G. Predisposing factors and clinical symptoms in HIV-negative patients with Candida esophagitis: are they always present? Int J Clin Pract 2005;59(2):210-213.

Chocarro Martínez A, Galindo Tobal F, Ruiz-Irastorza G, González López A, Alvarez Navia F, Ochoa Sangrador C, Martín Arribas MI. Risk factors for esophageal candidiasis. Eur J Clin Microbiol Infect Dis 2000;19(2):96-100

Additional Files

Published

2011-03-31

How to Cite

1.
Gomes R, Coelho M. Pseudomembranous colitis related to valaciclovir: a clinical case. RPMI [Internet]. 2011 Mar. 31 [cited 2024 May 19];18(1):22-5. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1297

Issue

Section

Case Reports

Most read articles by the same author(s)