Pseudomembranous Colitis with Recurring Diarrhoea and Prolonged Persistence of Clostridium Difficile in A 10-Year-Old Girl |
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| Authors: | T. VESIKARI,M. MAKI,MÄ IJA BAER,P. GRÖ NROOS |
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| Affiliation: | Department of Clinical Sciences, University of Tampere, Tampere, Finland;Department of Paediatrics, Tampere University Central Hospital, Tampere, Finland;Department of Microbiology, Tampere University Central Hospital, Tampere, Finland |
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| Abstract: | ABSTRACT. A 10-year-old girl developed, after treatment with amyxocillin, a clinically and sigmoidoscopi-cally apparent pseudomembranous colitis with positive Clostridium difficile stool culture. Treatment with vancomycin resulted in rapid clinical cure, but there was a relapse of diarrhoea and reappearance of C. difficile , with no pseudomembranous colitis, within one month. Clinical symptoms subsided spontaneously but C. difficile persisted for 2 more months in the stools. This case reflects three different aspects of C. difficile infection in one child: pseudomembranous colitis, ordinary diarrhoea, and symptomless carrier state. |
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| Keywords: | Clostridium difficile pseudomembranous colitis diarrhoea antibiotic-associated-diarrhoea |
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