Abe et al. Journal of Medical Case Reports 2012, 6:130 http://www.jmedicalcasereports.com/content/6/1/130 Competing interests The authors declare that they have no competing interests. Acknowledgments Authors thank to Dr. Larry Frye for his assistance in preparing this manuscript. Authors’ contributions IA was the main contributor to the preparation of the rough draft, and to the analysis and interpretation of the data under the supervision of YJK. JS contributed to the acquisition of data. FK critically revised the manuscript. All authors read and approved the final manuscript. Received: 29 December 2011 Accepted: 14 May 2012 Published: 14 May 2012 References 1. Pepin J, Vo TT, Boutros M, Marcotte E, Dial S, Dubé S, Vasilevsky CA, McFadden N, Patino C, Labbé AC: Risk factors for mortality following emergency colectomy for fulminant Clostridium difficile infection. Dis Colon Rectum 2009, 52:400–405. 2. Jobe BA, Grasley A, Deveney KE, Deveney CW, Sheppard BC: Clostridium difficile colitis: an increasing hospital-acquired illness. Am J Surg 1995, 169:480–483. 3. Dallal RM, Harbrecht BG, Boujoukas AJ, Sirio CA, Farkas LM, Lee KK, Simmons RL: Fulminant Clostridium difficile: an underappreciated and increasing cause of death and complications. Ann Surg 2002, 235:363–372. 4. Butala P, Divino CM: Surgical aspects of fulminant Clostridium difficile colitis. Am J Surg 2010, 200:131–135. 5. Jaber MR, Olafsson S, Fung WL, Reeves ME: Clinical review of the management of fulminant Clostridium difficile infection. Am J Gastroenterol 2008, 103:3195–3203. 6. Synnott K, Mealy K, Merry C, Kyne L, Keane C, Quill R: Timing of surgery for fulminating pseudomembranous colitis. Br J Surg 1998, 85:229–231. 7. Gerding DN, Olson MM, Peterson LR, Teasley DG, Gebhard RL, Schwartz ML, Lee JT Jr: Clostridium difficile-associated diarrhea and colitis in adults. A prospective case-controlled epidemiologic study. Arch Intern Med 1986, 146:95–100. 8. Kreisel D, Savel TG, Silver AL, Cunningham JD: Surgical antibiotic prophylaxis and Clostridium difficile toxin positivity. Arch Surg 1995, 130:989–993. 9. Zerey M, Paton BL, Lincourt AE, Gersin KS, Kercher KW, Heniford BT: The burden of Clostridium difficile in surgical patients in the United States. Surg Infect (Larchmt) 2007, 8:557–566. doi:10.1186/1752-1947-6-130 Cite this article as: Abe et al.: Acute fulminant pseudomembranous colitis which developed after ileostomy closure and required emergent total colectomy: a case report. Journal of Medical Case Reports 2012 6:130. Page 5 of 5 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit