title: Severe Clostridium difficile colitis and reactive arthritis in a ten-year-old child.
abstract: We present a case of Clostridium difficile associated colitis in a 10-year-old girl; following 2 consecutive courses of oral antibiotics she developed severe diarrhea and a hip effusion. This is the fourth published pediatric case of C. difficile associated reactive arthritis. C. difficile toxins A and B were isolated from stool culture. She made a full recovery following metronidazole therapy.
authors.affiliation: Department of Pediatrics, Wirral University Teaching Hospital NHS Trust, Wirral, United Kingdom. charlottedurand1978@yahoo.co.uk
authors.forename: Charlotte L
authors.initials: CL
authors.lastname: Durand
authors.forename: Patrick F
authors.initials: PF
authors.lastname: Miller
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016918:Arthritis, Reactive / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D002648:Child; D016360:Clostridioides difficile / Q000302:isolation & purification*; D003092:Colitis / Q000188:drug therapy / Q000382:microbiology*; D003967:Diarrhea / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D006615:Hip / Q000000981:diagnostic imaging; D006801:Humans; D008795:Metronidazole / Q000627:therapeutic use; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents; D008795:Metronidazole