Clinical case of pseudomembranous colitis in a patient with post-COVID syndrome

S. S. Yashin, E. D. Makarova, M. Danielian
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Abstract

Patients with COVID-19 most often have severe respiratory diseases, while about 19% of patients with COVID-19 exhibit gastrointestinal disorders. Excessive use of antibacterial drugs increases the risk of changes in the microbiota, the appearance of diarrhea and infection with Clostridioides difficile (CDI). Clostridium difficile infection (CDI) is a severe infectious disease of the colon caused by an obligate anaerobic organism releasing two main exotoxins: toxin A (TcdA) and toxin B (TcdB), which cause CDI symptoms: intestinal damage and inflammation of the mucous membrane, which leads to a serious complication – pseudomembranous colitis. This disease is difficult to treat and may cause a relapse. That is why emphasis is currently being put on the prevention of this disease.
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冠状病毒后综合征假膜性结肠炎1例
COVID-19患者通常患有严重的呼吸道疾病,而约19%的COVID-19患者表现出胃肠道疾病。过度使用抗菌药物会增加微生物群变化、腹泻和艰难梭菌(CDI)感染的风险。艰难梭菌感染(Clostridium difficile infection, CDI)是一种专性厌氧生物引起的严重的结肠感染性疾病,它释放出毒素a (TcdA)和毒素B (TcdB)两种主要的外毒素,引起CDI症状:肠道损伤和粘膜炎症,导致严重的并发症——假膜性结肠炎。这种病很难治疗,而且可能会复发。这就是为什么目前把重点放在预防这种疾病上。
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