title: Community-acquired diarrhea associated with Clostridium difficile in an HIV-positive cancer patient: first case report in Latin America.
abstract: Clostridium difficile is the most important cause of nosocomial diarrhea, mainly associated with antibiotic use and immunodeficiency. Although, an increased incidence of community-acquired C. difficile infection (CA-CDI) has been reported worldwide, this infection has been under-diagnosed in Latin America. This is the first report of a CA-CDI case in Latin America, in an HIV-positive patient with cancer.
authors: Laboratory of Bacteriology, Faculty of Medicine, Federal University of Ceará, Rua Coronel Nunes de Melo 1315, Rodolfo Teófilo, CEP 60430-275, Fortaleza, Brazil. Electronic address: cecilialcosta@hotmail.com.
authors: Cecília L
authors: CL
authors: Costa
authors: Laboratorio de Investigación en Bacteriología Anaerobia, Facultad de Microbiología and Centro de Investigación en Enfermedades Tropicales, Universidad de Costa Rica, San José, Costa Rica.
authors: Carlos
authors: C
authors: Quesada-Gómez
authors: Laboratory of Bacteriology, Faculty of Medicine, Federal University of Ceará, Rua Coronel Nunes de Melo 1315, Rodolfo Teófilo, CEP 60430-275, Fortaleza, Brazil.
authors: Cibele B Mano
authors: CB
authors: de Carvalho
authors: Haroldo Juaçaba Hospital, Cancer Institute of Ceará, Fortaleza, Brazil.
authors: Rafael H
authors: RH
authors: González
authors: Haroldo Juaçaba Hospital, Cancer Institute of Ceará, Fortaleza, Brazil.
authors: Markus A
authors: MA
authors: Gifoni
authors: Laboratory of Pharmacology of Inflammation and Cancer (LAFICA), Department of Physiology and Pharmacology, Federal University of Ceará, Fortaleza, Brazil.
authors: Ronaldo A
authors: RA
authors: Ribeiro
authors: Núcleo de Microscopia e Processamento de Imagens (NEMPI), Department of Morphology, Federal University of Ceará, Fortaleza, Brazil.
authors: Gerly Anne
authors: GA
authors: de Castro Brito
mesh_terms: D000368:Aged; D001938:Brazil; D016360:Clostridioides difficile / Q000302:isolation & purification; D003015:Clostridium Infections / Q000150:complications / Q000175:diagnosis*; D017714:Community-Acquired Infections / Q000150:complications / Q000175:diagnosis*; D003967:Diarrhea / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D009369:Neoplasms / Q000150:complications*
keywords: Cancer patients; Clostridium difficile; Community-acquired C. difficile infection (CA-CDI); HIV-positive patients