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Successful Fecal Microbiota Transplantation in a Patient with Severe Complicated Clostridium difficile Infection after Liver Transplantation
Clostridium difficile infection (CDI) represents one of the most common healthcare-associated infections. Due to increasing numbers of recurrences and therapy failures, CDI has become a major disease burden. Studies have shown that fecal microbiota transplantation (FMT) can both be a safe and highly...
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Published in: | Case reports in gastroenterology 2018-01, Vol.12 (1), p.76-84 |
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container_title | Case reports in gastroenterology |
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creator | Schneider, Kai Markus Wirtz, Theresa H. Kroy, Daniela Albers, Stefanie Neumann, Ulf Peter Strowig, Till Sellge, Gernot Trautwein, Christian |
description | Clostridium difficile infection (CDI) represents one of the most common healthcare-associated infections. Due to increasing numbers of recurrences and therapy failures, CDI has become a major disease burden. Studies have shown that fecal microbiota transplantation (FMT) can both be a safe and highly efficacious therapy for patients with therapy-refractory CDI. However, patients undergoing solid organ transplantation are at high risk for CDI due to long-term immunosuppression, previous antibiotic therapy, and proton pump inhibitor use. Additionally, these patients may be especially prone to adverse events related to FMT. Here, we report a successful FMT in a patient with severe therapy-refractory CDI after liver transplantation. |
doi_str_mv | 10.1159/000481937 |
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Due to increasing numbers of recurrences and therapy failures, CDI has become a major disease burden. Studies have shown that fecal microbiota transplantation (FMT) can both be a safe and highly efficacious therapy for patients with therapy-refractory CDI. However, patients undergoing solid organ transplantation are at high risk for CDI due to long-term immunosuppression, previous antibiotic therapy, and proton pump inhibitor use. Additionally, these patients may be especially prone to adverse events related to FMT. Here, we report a successful FMT in a patient with severe therapy-refractory CDI after liver transplantation.</description><identifier>ISSN: 1662-0631</identifier><identifier>EISSN: 1662-0631</identifier><identifier>DOI: 10.1159/000481937</identifier><identifier>PMID: 29606940</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Abdomen ; Antibiotics ; Bacterial infections ; Case and Review ; Case reports ; Clostridium difficile infection ; Diarrhea ; Fecal microbiota transplantation ; Feces ; Infections ; Infectious diseases ; Inflammatory bowel disease ; Liver ; Liver transplantation ; Liver transplants ; Microbiota ; Patients ; Pseudomembranous colitis ; Transplants & implants ; Ultrasonic imaging</subject><ispartof>Case reports in gastroenterology, 2018-01, Vol.12 (1), p.76-84</ispartof><rights>2018 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2018 by S. Karger AG, Basel 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5007-ae5d808165ec9529af9214ecf4241fab92a820110709cfa434e492a7d4c1f5823</citedby><cites>FETCH-LOGICAL-c5007-ae5d808165ec9529af9214ecf4241fab92a820110709cfa434e492a7d4c1f5823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869577/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869577/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27635,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29606940$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schneider, Kai Markus</creatorcontrib><creatorcontrib>Wirtz, Theresa H.</creatorcontrib><creatorcontrib>Kroy, Daniela</creatorcontrib><creatorcontrib>Albers, Stefanie</creatorcontrib><creatorcontrib>Neumann, Ulf Peter</creatorcontrib><creatorcontrib>Strowig, Till</creatorcontrib><creatorcontrib>Sellge, Gernot</creatorcontrib><creatorcontrib>Trautwein, Christian</creatorcontrib><title>Successful Fecal Microbiota Transplantation in a Patient with Severe Complicated Clostridium difficile Infection after Liver Transplantation</title><title>Case reports in gastroenterology</title><addtitle>Case Rep Gastroenterol</addtitle><description>Clostridium difficile infection (CDI) represents one of the most common healthcare-associated infections. Due to increasing numbers of recurrences and therapy failures, CDI has become a major disease burden. Studies have shown that fecal microbiota transplantation (FMT) can both be a safe and highly efficacious therapy for patients with therapy-refractory CDI. However, patients undergoing solid organ transplantation are at high risk for CDI due to long-term immunosuppression, previous antibiotic therapy, and proton pump inhibitor use. Additionally, these patients may be especially prone to adverse events related to FMT. Here, we report a successful FMT in a patient with severe therapy-refractory CDI after liver transplantation.</description><subject>Abdomen</subject><subject>Antibiotics</subject><subject>Bacterial infections</subject><subject>Case and Review</subject><subject>Case reports</subject><subject>Clostridium difficile infection</subject><subject>Diarrhea</subject><subject>Fecal microbiota transplantation</subject><subject>Feces</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Inflammatory bowel disease</subject><subject>Liver</subject><subject>Liver transplantation</subject><subject>Liver transplants</subject><subject>Microbiota</subject><subject>Patients</subject><subject>Pseudomembranous colitis</subject><subject>Transplants & implants</subject><subject>Ultrasonic imaging</subject><issn>1662-0631</issn><issn>1662-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>DOA</sourceid><recordid>eNptksFu1DAQhiMEoqVw4I6QpV7gsDB2nMS-IKEVLSstAtFytibOeOuSjbd2UsQ78NB4u2XVVpw8mvnmn9HvKYqXHN5xXun3ACAV12XzqDjkdS1mUJf88Z34oHiW0iVALUXJnxYHQtdQawmHxZ-zyVpKyU09OyGLPfvibQytDyOy84hD2vQ4jDj6MDA_MGTfckzDyH758YKd0TVFYvOw3vTe4kgdm_chjdF3flqzzjvnre-JLQZH9kYE3UiRLX1ufDjgefHEYZ_oxe17VPw4-XQ-_zxbfj1dzD8uZ7YCaGZIVadA8boiqyuh0WnBJVknheQOWy1QCeAcGtDWoSwlyZxrOmm5q5Qoj4rFTrcLeGk20a8x_jYBvblJhLgyGEdvezJ5SOOEyPa2lVSdVFa2Elpdy5KkQpW1Puy0NlO7ps5mayL290TvVwZ_YVbh2lSq1lXTZIE3twIxXE2URrP2yVKfXaEwJSNAgNKqEttZxw_QyzDFIVtlBOeNAFCwFXy7o_I_phTJ7ZfhYLb3Yvb3ktnXd7ffk_8OJAOvdsBPjCuKe2Dff_zf8vz76Y4wm86VfwHt99Dl</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Schneider, Kai Markus</creator><creator>Wirtz, Theresa H.</creator><creator>Kroy, Daniela</creator><creator>Albers, Stefanie</creator><creator>Neumann, Ulf Peter</creator><creator>Strowig, Till</creator><creator>Sellge, Gernot</creator><creator>Trautwein, Christian</creator><general>S. 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subjects | Abdomen Antibiotics Bacterial infections Case and Review Case reports Clostridium difficile infection Diarrhea Fecal microbiota transplantation Feces Infections Infectious diseases Inflammatory bowel disease Liver Liver transplantation Liver transplants Microbiota Patients Pseudomembranous colitis Transplants & implants Ultrasonic imaging |
title | Successful Fecal Microbiota Transplantation in a Patient with Severe Complicated Clostridium difficile Infection after Liver Transplantation |
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