[5 cases of clostridium difficile enteritis in infants].
We encountered 5 cases of Clostridium difficile enteritis that is rate in infancy. Its clinical symptoms consisted mainly of diarrhea, fever and vomiting. Also progressive abdominal enlargement was characteristically noted. Hematological examination revealed an increase in the number of leukocytes predominant with granulocytes in addition to accelerated erythrocyte sedimentation rate, an increase in alpha 2 globulin value and high LDH. On the bacteriological examination, detecting bacteria was difficult because of diarrhea being frequent and small in quantity, so bacteria were detected in only 2 out 5 cases. However, reaction to a CD latex agglutination test turned positive in all the cases during the clinical course, which was consistent with changes in the symptoms. Prognosis was good except one cases which in the symptoms. Prognosis was good except one case which had recurrence. Early diagnosis and early administration of Vancomycin are important in preventing severe complications. To that end, the CD latex agglutination test is considered useful even at present in the domain of pediatrics.
Wada
Y
Y
Department of Pediatrics, Kashiwa Hospital, Tokyo Jikei University School of Medicine.
Satoh
T
T
Kubo
M
M
D002648:Child; D002675:Child, Preschool; D004761:Enterocolitis, Pseudomembranous / Q000188:drug therapy / Q000209:etiology*; D004917:Erythromycin / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D014640:Vancomycin / Q000008:administration & dosage
D004917:Erythromycin; D014640:Vancomycin