Journal
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
Volume 57, Issue 6, Pages 813-816Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MPG.0b013e3182a3202f
Keywords
C difficile; children; norovirus; viral gastroenteritis
Funding
- Washington University-Pfizer
- Midwest Regional Centers for Excellence for Biodefense and Emerging Infectious Disease Research [U54AI057160]
- Melvin E. Carnahan Professorship in Pediatrics, Washington University Digestive Diseases Research Core Center
- Biobank [5P30 DK052574]
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Clostridium difficile infections in children are increasing. In this cohort study, we enrolled 62 children with diarrhea and C difficile. We performed polymerase chain reaction assays to detect viral agents of gastroenteritis and quantify C difficile burden. Fifteen (24%) children diagnosed as having C difficile infection had a concomitant viral co-infection. These patients tended to be younger and had a higher C difficile bacterial burden than children with no viral co-infections (median difference=565,957 cfu/mL; P=0.011), but were clinically indistinguishable. The contribution of viral co-infection to C difficile disease in children warrants future investigation.
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