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김주완 외 중앙대학교 의과대학 의과학연구소 2011 中央醫大誌 Vol.36 No.1/2
Clostridium difficile infection has traditionally been considered a hospital acquired infection but there are a rising number of community acquired infections. We report a case of pseudomembranous colitis in a patient with complement 3 deficiency. We experienced a case of 20-year-old male soldier who presented with abdominal pain, diarrhea and fever for a week during a basic military training. He did not take any medication before symptoms begin to develop. Stool culture yielded Clostridium difficile and stool tests for Clostridium difficile toxins were positive. Sigmoidoscopy revealed pseudomembrane formation at the mucosal surface of the rectosigmoid colon. His complement 3 level was low and another cause that induced his colitis was not detected. Two weeks course of oral metronidazole improved his symptoms and endoscopic findings of colitis.