title: Surgical-site infection with toxin A-nonproducing and toxin B-producing Clostridium difficile.
abstract: To date, few cases of extraintestinal infection with Clostridium difficile have been reported. We describe a case of surgical-site infection with C. difficile following a colonic operation. Administration of metronidazole was considered to be effective for treatment of the infection. The isolate was a toxin A-nonproducing and toxin B-producing strain.
authors.affiliation: Department of Clinical Laboratory, Tsuchiura Kyodo Hospital, Ibaraki, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kikkawa
authors.forename: Kazunori
authors.initials: K
authors.lastname: Miyamoto
authors.forename: Noriaki
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Kondo
authors.forename: Shigemi
authors.initials: S
authors.lastname: Hitomi
mesh_terms: D001426:Bacterial Proteins / Q000378:metabolism*; D001427:Bacterial Toxins / Q000378:metabolism*; D016360:Clostridioides difficile / Q000145:classification / Q000302:isolation & purification*; D003106:Colon / Q000601:surgery; D004761:Enterocolitis, Pseudomembranous / Q000382:microbiology*; D004768:Enterotoxins / Q000378:metabolism*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010291:Paresis / Q000175:diagnosis; D013530:Surgical Wound Infection / Q000150:complications / Q000382:microbiology*; D037521:Virulence Factors
chemical_list: D001426:Bacterial Proteins; D001427:Bacterial Toxins; D004768:Enterotoxins; D037521:Virulence Factors; C041348:tcdA protein, Clostridium difficile; C031815:toxB protein, Clostridium difficile