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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Main Author: Eric Tibesar
Format: Article
Language:English
Published: Karger Publishers 2020-10-01
Series:Case Reports in Gastroenterology
Subjects:
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.
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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
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