Genta V M, Gilligan P H, McCarthy L R
Arch Pathol Lab Med. 1984 Jan;108(1):82-3.
We describe a case of fatal peritonitis due to Clostridium difficile in a neonate. Although the patient had several clinical features that were compatible with the diagnosis of neonatal necrotizing enterocolitis, examination of the bowel at laparotomy disclosed that a mesenteric band caused the patient's underlying disease. Postmortem histopathologic tests revealed gram-positive rods in the wall of the small intestine. Clostridium difficile was the only organism recovered from an antemortem culture of peritoneal fluid and was also recovered from a postmortem blood culture.
我们描述了一例因艰难梭菌感染导致新生儿致命性腹膜炎的病例。尽管该患者有多项与新生儿坏死性小肠结肠炎诊断相符的临床特征，但剖腹探查时对肠道的检查发现，一条肠系膜束带导致了患者的基础疾病。尸检组织病理学检查显示小肠壁内有革兰氏阳性杆菌。艰难梭菌是从生前腹腔积液培养物中分离出的唯一微生物，在死后血培养中也分离出了该菌。
