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Fatal Clostridium difficile enteritis caused by the BI/NAP1/027 strain: a case series of ileal C. difficile infections
Authors:C. Lavallé  e,B. Laufer,J. Pé  pin,A. Mitchell,S. Dubé  , A.-C. Labbé  
Affiliation: Département de microbiologie, Hôpital Maisonneuve-Rosemont, Montréal,;,  Département de microbiologie et immunologie, Universitéde Montreal, Montréal,;,  Facultéde Médecine, Universitéde Montréal;, Montréal,  Service des soins intensifs, Hôpital Maisonneuve-Rosemont;, Montréal,  Universitéde Sherbrooke, Sherbrooke,;,  Département de pathologie, Hôpital Maisonneuve-Rosemont;, Montréal, and  Département de chirurgie, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
Abstract:Clostridium difficile generally causes diarrhoea and colitis. Small-bowel infections are considered to be rare. Twelve cases of ileal C. difficile infections are presented, including the first reported case proven to be caused by the hypervirulent BI/NAP1/027 strain. This case series suggests that small bowel involvement in C. difficile infections may be more frequent than previously thought.
Keywords:Autopsy    BI/NAP1/027 strain    Clostridium difficile    colectomy    ileitis
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