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Toxic megacolon complicating a Clostridium difficile infection in a pregnant woman : case report

MD

¹ E-mail: candiottoa{at}gmail.com

Received May 22, 2009
Accepted September 7, 2009

Clostridium difficile infection (CDI) in non hospitalized patients has been reported with increased frequency. An association between CDI and pregnancy has not been stressed. We report a case of severe CDI during pregnancy in a patient who did not have the traditional risk factors for CDI, such as antibiotic use, concurrent hospitalizations or immunodeficiency. There is recent evidence that Clostridium difficile-associated disease severity and frequency may be increasing not only in high-risk populations (hospitalized, immunocompromised or elderly patients) but also among younger and healthier patients from the community. Further research into the scope and risk factors during pregnancy for CDI is warranted