C Diff Case Study

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A 51 year old Hispanic woman was readmitted to our hospital for the sixth time, with complaints of nausea, vomiting, diffuse abdominal pain and diarrhea. She was first diagnosed with C diff, after she was started on a course of Doxycycline for urinary tract infection. She was discharged 1 week prior to the current admission, on vancomycin taper for treatment of recurrent C diff. During her previous admissions, she had positive blood cultures with Saccharomyces cerevisiae, Eubacterium lentum, Klebsiella pneumoniae, Candida albicans, Enterococcus faecalis, Aceinetobacter lwoffi and Staphylococcus simulans. Her ESR has been persistently high, with mildly elevated transaminases and alkaline phosphatase.
She has a history of polyarteritis nodosa,

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