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C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection ... in IBD - IBD Algorithm ... Complications CDI ... Testing Algorithm CDI ... #CDiff #CDifficile
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... immunocompromised, IBD ... IDSA 2021 CDI ... #Cdiff #Clostridioides ... #Difficile #Clostridium
Chronic Diarrhea Differential Diagnosis
 • Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea Differential ... : Recurrent C. diff ... Non-infectious: IBD ... Diarrhea #Chronic #Differential ... #Diagnosis #causes
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... Salmonella • Colon: C. difficile ... lymphomas, others) #IBD ... mimics #mimickers #differential
Common causes of post-Transplant Diarrhea
 • Bacterial: Clostridium difficile, Campylobacter spp., Salmonella spp., Bacterial overgrowth, Aeromonus
Common causes of ... Bacterial: Clostridium difficile ... Other: GVHD, PTLD, IBD ... Diarrhea #diagnosis #differential ... #causes
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... Pearls: • IDA ... Receptor (sTfR) to differentiate ... IDA vs. ... /other causes
ID Ddx: Diarrhea in a transplant recipient
- Bacterial: C.diff, Campy, Salmonella, Aeromonas, E.coli
- Viral: CMV, noro,
ID Ddx: Diarrhea ... recipient - Bacterial: C.diff ... Entamoeba - Non-ID ... #Infections #Differential ... Transplant #TxID #SOT #Causes
Potential Treatment Agents for Treatment of the Primary Clostridium difficile infection Episode
Proven efficacy:
 • Vancomycin -
Primary Clostridium difficile ... Fidaxomicin - 200 mg PO bid ... 50 mg IV every bid ... × 10 days #CDiff ... #pharmacology #idsa
IDSA Recommendations for Preventing and Treating Bacterial Enteric Infections in HIV-AIDS
Preventing Bacterial Enteric Illness:
 • Antimicrobial
IDSA Recommendations ... • In rare cases ... Treating Clostridium difficile ... Infection (CDI) ... Enteric #Bacterial #IDSA
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
Causes of Fat Malabsorption ... - Differential ... Celiac disease • IBD ... - CD, UC Altered ... #Diagnosis #Causes