Colitis (Infectious / Ischemic / Inflammatory)

Inflammatory disease of the colon — etiology drives management

Symptoms / Associated Sx

  • Diarrhea (watery, bloody, or mucoid), crampy lower abdominal pain

  • Fever (infectious, IBD; less common in ischemic)

  • Rectal urgency and tenesmus (distal colitis/proctitis)

  • Hematochezia (ischemic, severe IBD, invasive infectious)

Denies

  • Recent antibiotics (reduces C. diff if truly absent)

  • Recent travel, sick contacts, shellfish (rules out travel-related infectious colitis)

  • Known IBD (rules out IBD flare if absent — first presentation can occur)

  • Vascular disease, hypotension, recent aortic surgery (rules out ischemic if absent)

Social History (SHx)

Recent antibiotics (C. diff), travel history (Salmonella, Campylobacter, Shigella, STEC), immunosuppression (CMV colitis), prior IBD, vascular disease (ischemic colitis), radiation history.

Main Etiology

  • Infectious: C. diff, Salmonella, Shigella, Campylobacter, STEC O157:H7, Yersinia, CMV (immunocompromised), Entamoeba

  • Ischemic: Low-flow, atherosclerosis, cocaine, vasopressors; watershed zones

  • Inflammatory (IBD): UC (continuous, rectum to proximal); Crohn's (skip lesions, transmural)

  • Microscopic colitis: NSAIDs, PPIs, SSRIs; normal colonoscopy; watery non-bloody diarrhea

Most Common DDx

  • C. difficile colitis (recent antibiotics; watery non-bloody diarrhea initially; WBC >15k; C. diff PCR positive; pseudomembranes on colonoscopy)

  • IBD flare (known IBD or first presentation; fecal calprotectin very elevated; colonoscopy shows characteristic distribution — continuous UC vs. skip lesions Crohn's)

  • Ischemic colitis (elderly + vascular risk factors + low-flow state; bloody diarrhea at watershed zones; CT shows wall thickening; colonoscopy shows mucosal ischemia)

  • STEC / E. coli O157:H7 (bloody diarrhea + no fever initially; undercooked beef/spinach exposure; do NOT give antibiotics; check CBC/Cr for HUS)

  • Microscopic colitis (watery non-bloody diarrhea + normal colonoscopy macroscopically; biopsy diagnostic; middle-aged women; NSAID/PPI/SSRI use)

  • Diverticulitis (LLQ pain + fever; CT shows pericolic stranding; no diarrhea as dominant symptom; stool not bloody unless complicated)

  • Colorectal cancer with colitis-like presentation (weight loss + change in bowel habits; colonoscopy and biopsy)

DATA

  • CBC, CMP, CRP, ESR; fecal calprotectin; stool cultures (Salmonella, Shigella, Campylobacter, STEC); C. diff PCR; stool O&P; CMV PCR

  • CT abdomen/pelvis; KUB (toxic megacolon); colonoscopy or sigmoidoscopy (pattern, biopsy)

  • Lactate; BUN:Cr (dehydration)

Home Meds

  • NSAIDs (hold — worsen colitis); antidiarrheals/loperamide (hold — toxic megacolon risk)

  • Antibiotics (may have precipitated C. diff); immunosuppressants (IBD — continue vs. hold per infection concern)

Plan

  • IV fluids, electrolyte replacement; NPO if severe; advance diet as tolerated in mild-moderate

  • Infectious:

    • Most viral/mild bacterial → supportive; AVOID antibiotics + antidiarrheals in STEC

    • Salmonella (severe/bacteremic): Ciprofloxacin 500 mg PO/IV BID × 5–7 days

    • Shigella: Azithromycin 500 mg daily × 3 days or Ciprofloxacin 500 mg BID × 3 days

    • Campylobacter (severe): Azithromycin 500 mg daily × 3 days

    • Entamoeba: Metronidazole 500–750 mg TID × 7–10 days + Paromomycin 500 mg TID × 7 days

  • Ischemic colitis: Bowel rest + IVF; treat underlying low-flow state; Pip-tazo if fever/infection; surgery if peritonitis or no improvement

  • IBD flare: See IBD flare section below

  • Avoid loperamide in all active colitis; monitor for toxic megacolon (KUB if worsening; >6 cm = toxic megacolon → surgery)

  • Daily CBC, CMP, CRP; trend fever curve; follow cultures; GI + surgery consult; PT/OT

  • Discharge: Complete antibiotic course; hydration + BRAT diet advancing to regular; avoid NSAIDs; GI follow-up 2–4 weeks

Red Flags

  • Toxic megacolon (colon >6 cm + systemic toxicity) → NPO, NG tube, IV steroids/cyclosporine (IBD), surgery

  • Peritoneal signs → perforation → emergent surgery

  • STEC O157:H7 + HUS signs (microangiopathic hemolytic anemia + thrombocytopenia + AKI) → supportive only; no antibiotics

  • CMV colitis in steroid-refractory IBD → biopsy + tissue PCR; ganciclovir before escalating IBD therapy

Senior IM Resident Pearls

  • Ischemic colitis classic locations: Splenic flexure and rectosigmoid (watershed areas); right colon ischemia = more severe

  • STEC antibiotics increase HUS risk ~10× — most important antibiotic contraindication in GI medicine

  • Microscopic colitis: Budesonide 9 mg PO daily × 8 weeks — most effective; stop offending drugs (NSAIDs, PPIs, SSRIs) first

  • Common mistake: Loperamide in IBD flare or infectious colitis — risk of toxic megacolon

ORDERS

Labs

Admission Labs

  • CBC with diff

  • CMP

  • BMP

  • CRP

  • ESR

  • Lactate

  • Magnesium

  • Phosphorus

Stool Studies

  • C. difficile PCR

  • GI pathogen panel / stool culture

  • Stool culture for Salmonella, Shigella, Campylobacter

  • STEC/Shiga toxin testing

  • Stool O&P

  • Fecal leukocytes

  • Fecal calprotectin

  • Stool occult blood

Additional Labs

  • CMV PCR (immunocompromised)

  • HIV test if immunocompromised

  • Blood cultures ×2 (fever/sepsis)

  • Iron studies if chronic bloody diarrhea

Trending Labs

  • CBC daily

  • CMP daily

  • CRP daily

  • Lactate q4–6 hr if ischemic/septic

  • Monitor Cr closely (HUS risk)

Imaging

First-Line

CT Abdomen/Pelvis with Contrast

Evaluate:

  • Colitis distribution

  • Ischemia

  • Perforation

  • Abscess

  • Toxic megacolon

If Toxic Megacolon Concern

KUB Daily

Evaluate:

  • Colon diameter

  • Free air

Toxic megacolon:

  • Colon >6 cm

Additional Imaging

CTA Abdomen/Pelvis

If:

  • Ischemic colitis

  • Mesenteric ischemia concern

  • Severe abdominal pain out of proportion

Procedures

Diagnostic

Colonoscopy / Flexible Sigmoidoscopy

  • IBD diagnosis

  • Ischemic colitis confirmation

  • Biopsy

  • CMV diagnosis

Avoid Full Colonoscopy

If:

  • Toxic megacolon

  • Severe fulminant colitis

Surgery

If:

  • Perforation

  • Toxic megacolon

  • Fulminant ischemic colitis

  • Necrosis

Medications

Supportive Care

IV Fluids

  • LR or NS

  • Aggressive electrolyte replacement

Diet

  • NPO if severe

  • Advance as tolerated

Infectious Colitis

C. difficile

Non-Severe/Severe

  • Vancomycin 125 mg PO QID x10 days

OR

  • Fidaxomicin 200 mg PO BID x10 days

Fulminant

  • Vancomycin 500 mg PO QID
    PLUS

  • Metronidazole 500 mg IV q8h

Salmonella (Severe/Bacteremic)

Ciprofloxacin

  • 500 mg PO BID
    OR

  • 400 mg IV q12h
    x5–7 days

Shigella

Azithromycin

  • 500 mg PO daily x3 days

OR

Ciprofloxacin

  • 500 mg PO BID x3 days

Campylobacter

Azithromycin

  • 500 mg PO daily x3 days

Entamoeba Histolytica

Metronidazole

  • 500–750 mg PO TID x7–10 days

THEN

Paromomycin

  • 500 mg PO TID x7 days

STEC (E. coli O157:H7)

Supportive Care Only

DO NOT GIVE:

  • Antibiotics

  • Loperamide

Monitor:

  • CBC

  • Platelets

  • Creatinine

(HUS surveillance)

Ischemic Colitis

Bowel Rest

  • NPO

IV Fluids

  • Aggressive hydration

Treat Underlying Cause

  • Hypotension

  • Shock

  • Vasoconstrictive drugs

Moderate-Severe Disease

Piperacillin-Tazobactam

  • 4.5 g IV q6h

IBD Flare

Ulcerative Colitis

Methylprednisolone

  • 60 mg IV daily

OR

  • 20 mg IV q8h

Crohn's Disease

Methylprednisolone

  • 40–60 mg IV daily

Severe/Refractory

  • GI-directed biologics

Microscopic Colitis

Budesonide

  • 9 mg PO daily x8 weeks

Stop Offending Drugs

  • NSAIDs

  • PPIs

  • SSRIs

Hold Medications

Avoid

  • Loperamide

  • Diphenoxylate-atropine

Hold

  • NSAIDs

  • PPIs if causing microscopic colitis

  • Antibiotics if STEC suspected

Consults

Gastroenterology

  • All moderate/severe colitis

  • Colonoscopy

  • IBD

  • CMV concern

General Surgery

  • Toxic megacolon

  • Perforation

  • Fulminant ischemic colitis

Infectious Disease

  • CMV colitis

  • Severe infectious colitis

  • Refractory C. difficile

PT/OT

  • Deconditioning

Nutrition

  • Malnutrition

  • IBD

  • Prolonged NPO

Nursing Orders

Monitoring

  • Strict I&O

  • Stool count

  • Daily weights

  • Vital signs q4 hr

Diet

  • NPO if severe

  • Advance to low-residue diet

Notify Physician Immediately

  • Increasing abdominal distension

  • Peritoneal signs

  • Bloody diarrhea worsening

  • Fever

  • Hypotension

Follow-Up Studies

Daily

  • CBC

  • CMP

  • CRP

Follow

  • Stool cultures

  • C. difficile PCR

  • Calprotectin

  • Colonoscopy pathology

  • CMV testing

Escalation Criteria

Toxic Megacolon

Criteria:

  • Colon >6 cm

  • Systemic toxicity

Management:

  • NPO

  • NG tube

  • IV steroids (IBD)

  • Surgery consult STAT

Perforation

Signs:

  • Free air

  • Peritonitis

  • Rigid abdomen

→ Emergent surgery

STEC + HUS

Triad:

  • Hemolytic anemia

  • Thrombocytopenia

  • AKI

→ Supportive care
→ Nephrology consult

CMV Colitis

Ganciclovir

  • 5 mg/kg IV q12h

Before escalating IBD immunosuppression