感染症学雑誌
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
幼児期に発症したClostridium腸炎の5例
和田 靖之佐藤 達也久保 政勝
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ジャーナル フリー

1995 年 69 巻 5 号 p. 608-614

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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 incrase in α2 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.
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