cdiff death?

a pt sent to the hosp for swollen legs and elevated temp expired two days after admit, prelim cause of death cdiff.
pt was on florastor for history of cdiff. no loose stools noted until transfer to hosp, labs and doppler done before discharge BNP elevated 5.5x normal limits...but that points to CHF not cdiff. doppler negative.

am I missing something? is that a comp of cdiff or an md talking out their butt?
Who knows. In my world, everyone they can't figure out seems to get sepsis. Maybe this guy just latches onto anything.

Legs may be swollen, but what was the fluid status in the rest of him? Water balloons squish to one end, leaving the top "empty".... is the same principle possible here?

Quote from xtxrnLegs may be swollen, but what was the fluid status in the rest of him? Water balloons squish to one end, leaving the top "empty".... is the same principle possible here?

I wasnt there the last time i seen the pt was 3 days before transfer and they were their pleasantly confused self, but from the NN it was just the legs. this person also had a inplanted pacemaker and was on lasix/potassium if that helps any.I guess the family is blaming the facility md for not keeping the pt on profilactic (sp?) abt but the pt was on florastor without incident until transfer.I know a person can expire from untreated cdiffone of the ARNP looked at the labs and said it looks like CHFi dont know, i just dont want to get dragged into a legal something or other cause hosp md/fam/facility md dont clickto hear all the story from the family things just dont make any sense

How cute! I think it is spelled prophylactic, but I'm not sure. It sounds like you did everything right! Pls don't worry!

I wonder what the protein levels were...if some ongoing slow depletion of total protein and albumin could cause the LE edema, but mask (sorta) some of the dehydration of chronic diarrhea.... but it sounds like the florastor had helped that until getting to the hospital (where it may not have been given). Death 2 days after admission to a hospital is going to be looked at from the hospital's management of things..... 24 hours or less, then they look at the LTC and hospital (unexpected death with mandatory autopsy). Hard telling- don't beat yourself up.

Quote from jmtndlHow cute! I think it is spelled prophylactic, but I'm not sure. It sounds like you did everything right! Pls don't worry!

There comes a point in colitis that the frequent bowel movements greatly decrease or even cease altogether.

Sepsis due to CDiff causing renal failure, causing the water balloon legs with BNPx5.Just a guess.

Death by c diff....damn right it happens. I have seen it before and my own 95 y/o mothet was in rehab and got c diff. She died 45 days ago from it. It does happen

Quote from MomRN0913Sepsis due to CDiff causing renal failure, causing the water balloon legs with BNPx5.Just a guess.

perforated colon, sepsis, renal failure are all possible