Clostridium difficile infection in a patient with Crohn disease

Crohn disease is a chronic inflammatory disorder, which is rare in pediatric patients. The definite etiology and mechanism to induce an acute exacerbation of Crohn disease remains mostly unknown. The authors report on a 14-year-old girl with Crohn disease who has acute gastrointestinal symptoms caus...

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Main Authors: Chien-Hui Hsu, Yung-Ming Jeng, Yen-Hsuan Ni
Format: Article
Language:English
Published: Elsevier 2012-06-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664612002471
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author Chien-Hui Hsu
Yung-Ming Jeng
Yen-Hsuan Ni
author_facet Chien-Hui Hsu
Yung-Ming Jeng
Yen-Hsuan Ni
author_sort Chien-Hui Hsu
collection DOAJ
description Crohn disease is a chronic inflammatory disorder, which is rare in pediatric patients. The definite etiology and mechanism to induce an acute exacerbation of Crohn disease remains mostly unknown. The authors report on a 14-year-old girl with Crohn disease who has acute gastrointestinal symptoms caused by toxin A-producing Clostridium difficile, which mimicked a flare-up of Crohn disease. There was no preceding antibiotic prescription before the episode. The disease activity did not improve after steroid treatment, which is unusual for Crohn disease. However, all symptoms were dramatically relieved after eradication of C difficile, and led to a symptom-free period for more than 3 years. This case report aims to address the unusual presentation of a usual pathogen, C difficile, in a pediatric patient with Crohn disease.
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spelling doaj.art-d1287d7cc47344fa843625ad2c56a46a2022-12-22T02:35:43ZengElsevierJournal of the Formosan Medical Association0929-66462012-06-01111634734910.1016/j.jfma.2009.09.001Clostridium difficile infection in a patient with Crohn diseaseChien-Hui Hsu0Yung-Ming Jeng1Yen-Hsuan Ni2Department of Pediatrics, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pathology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pediatrics, National Taiwan University Hospital, Taipei, TaiwanCrohn disease is a chronic inflammatory disorder, which is rare in pediatric patients. The definite etiology and mechanism to induce an acute exacerbation of Crohn disease remains mostly unknown. The authors report on a 14-year-old girl with Crohn disease who has acute gastrointestinal symptoms caused by toxin A-producing Clostridium difficile, which mimicked a flare-up of Crohn disease. There was no preceding antibiotic prescription before the episode. The disease activity did not improve after steroid treatment, which is unusual for Crohn disease. However, all symptoms were dramatically relieved after eradication of C difficile, and led to a symptom-free period for more than 3 years. This case report aims to address the unusual presentation of a usual pathogen, C difficile, in a pediatric patient with Crohn disease.http://www.sciencedirect.com/science/article/pii/S0929664612002471childrenClostridium difficileCrohn diseaseinflammatory bowel disease
spellingShingle Chien-Hui Hsu
Yung-Ming Jeng
Yen-Hsuan Ni
Clostridium difficile infection in a patient with Crohn disease
Journal of the Formosan Medical Association
children
Clostridium difficile
Crohn disease
inflammatory bowel disease
title Clostridium difficile infection in a patient with Crohn disease
title_full Clostridium difficile infection in a patient with Crohn disease
title_fullStr Clostridium difficile infection in a patient with Crohn disease
title_full_unstemmed Clostridium difficile infection in a patient with Crohn disease
title_short Clostridium difficile infection in a patient with Crohn disease
title_sort clostridium difficile infection in a patient with crohn disease
topic children
Clostridium difficile
Crohn disease
inflammatory bowel disease
url http://www.sciencedirect.com/science/article/pii/S0929664612002471
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