{"id":3701,"date":"2015-03-11T23:37:43","date_gmt":"2015-03-11T23:37:43","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/colite-por-clostridium-difficile-simulando-doenca-inflamatoria-intestinal\/"},"modified":"2021-09-22T13:40:32","modified_gmt":"2021-09-22T13:40:32","slug":"colite-por-clostridium-difficile-simulando-doenca-inflamatoria-intestinal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/colite-por-clostridium-difficile-simulando-doenca-inflamatoria-intestinal\/","title":{"rendered":"Colite por Clostridium difficile simulando  doen\u00e7a inflamat\u00f3ria Intestinal"},"content":{"rendered":"<p>Paciente do sexo feminino, 60 anos, apresentou em setembro de 2013, dores abdominais recorrentes, com diarreia sem produtos patol\u00f3gicos, associado distens\u00e3o abdominal e flatul\u00eancia excessiva. Teste respirat\u00f3rio com lactulose positivo para Supercrescimento Bacteriano do Intestino Delgado. Realizado tratamento com ciprofloxacina com melhora dos sintomas.<\/p>\n<p>Em janeiro de 2014 houve retorno dos sintomas anteriores, sendo realizado novo ciclo de ciprofloxacina associado a probi\u00f3tico com boa resposta. Ap\u00f3s a suspens\u00e3o do antibi\u00f3tico evolui com piora do quadro de diarreia com presen\u00e7a de muco e queda do estado geral.<\/p>\n<h2><strong>Colonoscopia<\/strong><\/h2>\n<p>Realizou colonoscopia que demostrou as imagens abaixo:<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-9500\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/11-300x155-1.png\" alt=\"\" width=\"300\" height=\"155\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Fez uso de mesalazina por suspeita de Doen\u00e7a Inflamat\u00f3ria Intestinal. Mesmo assim teve piora do quadro, surgindo com pequenos epis\u00f3dios de hematoquezia. Como n\u00e3o houve melhora do quadro com mesalazina foi suspeitado de infec\u00e7\u00e3o por clostridium. Realizada nova colonoscopia evidenciando pancolite com atividade intensa no c\u00f3lon esquerdo, com presen\u00e7a de eros\u00f5es e \u00falceras rasas, friabilidade da mucosa e focos de fibrina aderidas a mucosa.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/222221.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-188\" title=\"colite pseudomembranosa\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/222221.png\" alt=\"colite pseudomembranosa\" width=\"407\" height=\"209\" \/><\/a><\/p>\n<p>Apesar do especto na colonoscopia n\u00e3o ser t\u00e3o t\u00edpico da <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/colite-por-clostridium-difficile-simulando-doenca-inflamatoria-intestinal\/\">colite pseudomembranosa<\/a>, a pesquisa fecal da toxina A e B para clostridium foram positivas. A paciente foi tratada com metronidazol (400mg 8\/8hs por 28 dias) com boa resposta cl\u00ednica. Colonoscopia de controle ao final do tratamento evidenciou resposta completa do quadro.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Discuss\u00e3o:<\/strong><\/h2>\n<p>Clostridium difficile \u00e9 uma bact\u00e9ria anaer\u00f3bica gram-positiva, formadora de esporos, que se encontra amplamente no meio ambiente respons\u00e1vel por diarreia infecciosa e colite pseudomembranosa com significativa morbimortalidade.<\/p>\n<p>A exposi\u00e7\u00e3o pr\u00e9via a antibioticoterapia \u00e9 considerada um fator maior para o desenvolvimento da doen\u00e7a. A presen\u00e7a de comorbidades, como por exemplo, doen\u00e7as neopl\u00e1sicas (principalmente hematol\u00f3gicas), dist\u00farbios gastrointestinais e estados de imunossupress\u00e3o, s\u00e3o fatores de risco para a infec\u00e7\u00e3o adquirida na comunidade (67% dos casos). Importante destacar que nem sempre os fatores considerados como de risco est\u00e3o associados ao desenvolvimento da doen\u00e7a. Foi comprovado que metade dos casos de infec\u00e7\u00e3o adquirida na comunidade n\u00e3o tinha exposi\u00e7\u00e3o pr\u00e9via a terap\u00eautica antibi\u00f3tica no m\u00eas anterior e cerca de 1\/3 dos casos n\u00e3o tinha exposi\u00e7\u00e3o hospitalar recente.<\/p>\n<p>A colite por Clostridium difficile deve ser suspeitada em pacientes com quadro diarreia cr\u00f4nica mesmo em pacientes ambulatoriais e que n\u00e3o possuem os fatores de risco cl\u00e1ssicos como interna\u00e7\u00e3o hospitalar ou uso de antibi\u00f3ticos previamente.\u00a0\u00a0 Em pacientes com diarr\u00e9ia cr\u00f4nica e suspeita de Doen\u00e7a Inflamat\u00f3ria intestinal deve-se investigar colite por Clostridium difficile como diagn\u00f3stico diferencial<\/p>\n<p>Em cerca de 10% dos pacientes n\u00e3o \u00e9 poss\u00edvel fazer a diferencia\u00e7\u00e3o entre colite e uma doen\u00e7a inflamat\u00f3ria intestinal, sendo esses classificados como colite indeterminada.<\/p>\n<h3><strong>Fatores de risco para diferenciar Colite por C. difficile de Doen\u00e7a Inflamat\u00f3ria Intestinal:<\/strong><\/h3>\n<ul>\n<li>Mulheres tem o dobro de chance quando comparadas com os homens<\/li>\n<li>Primavera e ver\u00e3o tem maior incid\u00eancia de infec\u00e7\u00e3o por clostridium<\/li>\n<li>Interna\u00e7\u00e3o pr\u00e9via por um intervalo de 3 a 12 meses (29% dos casos)<\/li>\n<li>Uso de antimicrobiano durante 3 meses anteriores aos sintomas (68 % dos casos)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4><strong>Bibliografia<\/strong><\/h4>\n<p><strong>Kristin E. Burke<\/strong> and J. Thomas Lamont<em>. <\/em>Clostridium difficile infection: a worldide disease. Ut Liver. Jan 2014; 8(1): 1-6.232<\/p>\n<p><strong>Kazanowski<\/strong>, S. Smolarek, F. Kinnarney, and Z. Grzebieniak. Clostridium difficile: epidemiology, diagnostic and therapeutic possibilities \u2013 a systematic review. Tech Coloproctol. 2014; 18: 223-232.<\/p>\n<p><strong>Odze RD<\/strong>. Pathology of indeterminate colitis. J Clin Gastroenterol. 2004 May-Jun;38(5 Suppl 1):S36-40.2009<\/p>\n<p><strong style=\"line-height: 1.5;\">A. Adalja<\/strong><span style=\"line-height: 1.5;\">, MD. C. Difficile in the Community Setting. November 23, 2009.<\/span><\/p>\n<p><strong style=\"line-height: 1.5;\">M. Xavier<\/strong><span style=\"line-height: 1.5;\">. Clostridium Difficile: Uma infec\u00e7\u00e3o emergente na comunidade. Mestrado Integrado em Medicina. Faculdade de Medicina. Universidade de Porto.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente do sexo feminino, 60 anos, apresentou em setembro de 2013, dores abdominais recorrentes,&hellip;<\/p>\n","protected":false},"author":1772,"featured_media":3700,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[282],"tipo":[156],"volume":[263],"class_list":["post-3701","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-282","tipo-colonoscopia","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Colite por Clostridium difficile simulando doen\u00e7a inflamat\u00f3ria Intestinal &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" 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