title: Fatal Clostridium difficile enteritis caused by the BI/NAP1/027 strain: a case series of ileal C. difficile infections.
abstract: Clostridium difficile generally causes diarrhoea and colitis. Small-bowel infections are considered to be rare. Twelve cases of ileal C. difficile infections are presented, including the first reported case proven to be caused by the hypervirulent BI/NAP1/027 strain. This case series suggests that small bowel involvement in C. difficile infections may be more frequent than previously thought.
authors.affiliation: Département de Microbiologie, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Lavallée
authors.forename: B
authors.initials: B
authors.lastname: Laufer
authors.forename: J
authors.initials: J
authors.lastname: Pépin
authors.forename: A
authors.initials: A
authors.lastname: Mitchell
authors.forename: S
authors.initials: S
authors.lastname: Dubé
authors.forename: A-C
authors.initials: AC
authors.lastname: Labbé
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy; D016360:Clostridioides difficile / Q000145:classification / Q000472:pathogenicity*; D003082:Colectomy; D004751:Enteritis / Q000453:epidemiology / Q000382:microbiology / Q000401:mortality / Q000473:pathology; D004761:Enterocolitis, Pseudomembranous / Q000453:epidemiology / Q000382:microbiology / Q000401:mortality / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007079:Ileitis / Q000453:epidemiology / Q000382:microbiology / Q000401:mortality / Q000473:pathology; D007082:Ileum / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D014774:Virulence; D055815:Young Adult