Intravenous immunoglobulin for resistant Clostridium difficile infection
Author(s) -
C. Murphy,
Martin Ver,
M. Cullen
Publication year - 2005
Publication title -
age and ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.014
H-Index - 143
eISSN - 1468-2834
pISSN - 0002-0729
DOI - 10.1093/ageing/afi212
Subject(s) - medicine , clostridium difficile , metronidazole , cholestyramine , clostridium difficile toxin a , antibiotics , vancomycin , rifampicin , antibody , enterocolitis , colitis , immune system , immunology , diarrhea , immunoglobulin a , clostridium difficile toxin b , microbiology and biotechnology , immunoglobulin g , bacteria , staphylococcus aureus , genetics , cholesterol , biology
Clostridium difficile (CD)-associated diarrhoea and colitis may relapse in up to 20% of treated patients. We present a patient who failed to respond over a 6-month period to treatment either singly or in combination with metronidazole, vancomycin, rifampicin, cholestyramine and probiotics. Her diarrhoea rapidly resolved after a 3-day course of intravenous immunoglobulin. This treatment may compensate for a failed immune response to CD toxin and should be considered for relapsing CD-associated diarrhoea where there is no response to conventional treatment strategies.
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