Baker Susan S, Faden Howard, Sayej Wael, Patel Raza, Baker Robert D
University at Buffalo, The State University of New York, School of Medicine and Biomedical Sciences, and Women and Children's Hospital of Buffalo, Buffalo, NY, USA.
Clin Pediatr (Phila). 2010 Jul;49(7):644-7. doi: 10.1177/0009922809360927. Epub 2010 Feb 11.
Forty-one children with a variety of gastrointestinal complaints were diagnosed with Clostridium difficile infections as part of a routine screen over 3 years. The infection had not been suspected prior to the screen. Each child responded to treatment with metronidazole with resolution of their symptoms. These data suggest that community-associated C difficile is increasing and may produce atypical disease and lead to misdiagnosis.
在为期3年的常规筛查中,41名有各种胃肠道不适症状的儿童被诊断出感染艰难梭菌。在筛查之前并未怀疑有该感染。每个孩子对甲硝唑治疗均有反应,症状得到缓解。这些数据表明,社区相关性艰难梭菌感染正在增加,可能会导致非典型疾病并引起误诊。