Recurrent fatal pseudo-membranous colitis

Background Clostridium difficile pseudomembranous colitis may tarce a fulmi nent course and require surgery. Case reports Outcome was fatal despite subtotal colectomy in the reported c ase of recurrent Clostridium difficile pseudomembranous colitis. Infrequent localization, low serum albumin and an unfavorable clinical course were ob served. Discussion Rapid surgical treatment with large resection is mandatory in su ch cases, particularly in patients of rectal and sigmoid remnant involvemen t. (C) 2001, Masson, Paris.