Fulminant Clostridioides difficile infection in a dialysis outpatient with no history of antibiotic use

Abstract

There are few reports on fulminant Clostridium difficile infection (CDI) in patients on dialysis with no history of antibiotic use. The patient was a 66-year-old woman with a 15-year history of dialysis due to end-stage renal failure. She was diagnosed with fulminant CDI, but her general condition improved with conservative treatment. Fulminant CDI has a high fatality rate, even with surgical treatment. Here, we describe a case of fulminant Clostridium difficile enteritis during dialysis, with no history of antibiotic use, in which a favorable survival outcome was achieved with conservative treatment.