Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy
Clostridium difficile infection rates have been rising within the last decade and more pediatric patients have been suffering from this type of infection. However, this bacterium is a well-known contaminant in the normal flora of the colon in patients under the age of 2 years, and therefore consensu...
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Format: | Article |
Language: | English |
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Karger Publishers
2020-10-01
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Series: | Case Reports in Gastroenterology |
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Online Access: | https://www.karger.com/Article/FullText/508916 |
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author | Eric Tibesar |
author_facet | Eric Tibesar |
author_sort | Eric Tibesar |
collection | DOAJ |
description | Clostridium difficile infection rates have been rising within the last decade and more pediatric patients have been suffering from this type of infection. However, this bacterium is a well-known contaminant in the normal flora of the colon in patients under the age of 2 years, and therefore consensus guidelines have recommended against routine testing for this infection, unless clinically indicated. We present here a case of a very young infant who presented with symptoms of food refusal, poor weight gain, abdominal distention, and colitis noted on imaging. Endoscopic evaluation demonstrated the presence of pseudomembranous colitis, so the patient was treated with antibiotics against C. difficile and recovered fully. This case demonstrates the importance of keeping C. difficile colitis in your differential diagnosis, even at a very young age. |
first_indexed | 2024-12-20T13:21:59Z |
format | Article |
id | doaj.art-f82827bf243a437ba0872f6cf70c3463 |
institution | Directory Open Access Journal |
issn | 1662-0631 |
language | English |
last_indexed | 2024-12-20T13:21:59Z |
publishDate | 2020-10-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Gastroenterology |
spelling | doaj.art-f82827bf243a437ba0872f6cf70c34632022-12-21T19:39:23ZengKarger PublishersCase Reports in Gastroenterology1662-06312020-10-0114352252610.1159/000508916508916Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on EndoscopyEric TibesarClostridium difficile infection rates have been rising within the last decade and more pediatric patients have been suffering from this type of infection. However, this bacterium is a well-known contaminant in the normal flora of the colon in patients under the age of 2 years, and therefore consensus guidelines have recommended against routine testing for this infection, unless clinically indicated. We present here a case of a very young infant who presented with symptoms of food refusal, poor weight gain, abdominal distention, and colitis noted on imaging. Endoscopic evaluation demonstrated the presence of pseudomembranous colitis, so the patient was treated with antibiotics against C. difficile and recovered fully. This case demonstrates the importance of keeping C. difficile colitis in your differential diagnosis, even at a very young age.https://www.karger.com/Article/FullText/508916pediatricsclostridium difficilecolitisdifferential diagnosisgastrointestinal bleeding |
spellingShingle | Eric Tibesar Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy Case Reports in Gastroenterology pediatrics clostridium difficile colitis differential diagnosis gastrointestinal bleeding |
title | Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy |
title_full | Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy |
title_fullStr | Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy |
title_full_unstemmed | Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy |
title_short | Clostridium difficile Infection in a Very Young Infant with Pseudomembranous Colitis Noted on Endoscopy |
title_sort | clostridium difficile infection in a very young infant with pseudomembranous colitis noted on endoscopy |
topic | pediatrics clostridium difficile colitis differential diagnosis gastrointestinal bleeding |
url | https://www.karger.com/Article/FullText/508916 |
work_keys_str_mv | AT erictibesar clostridiumdifficileinfectioninaveryyounginfantwithpseudomembranouscolitisnotedonendoscopy |