Increasing incidence of community-associated atypical Clostridium difficile disease in children

Clin Pediatr (Phila). 2010 Jul;49(7):644-7. doi: 10.1177/0009922809360927. Epub 2010 Feb 11.

Abstract

Forty-one children with a variety of gastrointestinal complaints were diagnosed with Clostridium difficile infections as part of a routine screen over 3 years. The infection had not been suspected prior to the screen. Each child responded to treatment with metronidazole with resolution of their symptoms. These data suggest that community-associated C difficile is increasing and may produce atypical disease and lead to misdiagnosis.

MeSH terms

  • Biopsy, Needle
  • Child
  • Child, Preschool
  • Clostridioides difficile / isolation & purification*
  • Clostridium Infections / diagnosis
  • Clostridium Infections / drug therapy
  • Clostridium Infections / epidemiology*
  • Colonoscopy / methods
  • Community-Acquired Infections / diagnosis
  • Community-Acquired Infections / epidemiology*
  • Diagnosis, Differential
  • Enterocolitis, Pseudomembranous / diagnosis*
  • Enterocolitis, Pseudomembranous / epidemiology
  • Enterocolitis, Pseudomembranous / microbiology
  • Female
  • Humans
  • Incidence
  • Male
  • Mass Screening / methods
  • Metronidazole / therapeutic use
  • Retrospective Studies
  • Risk Assessment
  • United States / epidemiology

Substances

  • Metronidazole