Gastrointestinal Pathology · Pathology

Which microscopic finding is pathognomonic for pseudomembranous colitis caused by Clostridioides difficile?

  1. Dense neutrophilic crypt abscesses with confluent mucosal ulceration
  2. Volcano eruption of fibrin, mucin, and neutrophils from crypts
  3. Intranuclear viral inclusions in colonic endothelial cells
  4. Non-caseating granulomatous inflammation of the submucosa
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Correct answer: Volcano eruption of fibrin, mucin, and neutrophils from crypts

C. difficile toxins cause superficial mucosal necrosis. This results in an inflammatory exudate that erupts from the crypts to form the characteristic yellow-white 'pseudomembranes' on the colonic surface.

Difficulty: Medium Question 7 of 20

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