A 16-month-old boy hospitalized in the Pediatric Department of the Warsaw Children’s Hospital who developed a severe form of Clostridioides difficile infection (CDI) during parenteral antibiotic therapy with cefuroxime is described.
Abstract
This paper describes a case of a 16-month-old boy hospitalized in the Pediatric Department of the Warsaw Children’s Hospital who developed a severe form of Clostridioides difficile infection (CDI) during parenteral antibiotic therapy with cefuroxime. Clostridioides difficile infection (CDI) constitutes a specific diagnostic problem in the population of children under 2 years of age. The clinical picture of CDI in young children most often takes the form of diarrhea with accompanying fever and abdominal pain. Severe and complicated course is relatively rare. Available laboratory tests do not allow the distinction between the symptomatic form and being the carrier, which may reach 70% in young children. Most importantly, other causes of clinical symptoms should be excluded in the diagnostic process. The fulminant form is an indication for the immediate initiation of treatment. Improper treatment or delayed diagnosis may lead to a number of complications including death.
The paper reports the case of a 15-year-old Moldovan girl presenting with persistent right upper quadrant pain and high-grade fever. Initially treated for a suspected urinary tract infection, the persistence of symptoms led to the discovery of a large hepatic cystic lesion (13×10 cm) suspicious for echinococcosis. Furt...
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BACKGROUND
The epidemiology and clinical characteristics of pediatric Clostridioides difficile infection (CDI) in Japan have not been well characterized. Unlike in adults, C. difficile colonization is common in children, particularly in those younger than 2 years. This study aimed to characterize pediatric CDI in Japan...
Urinary tract infection (UTI) is one of the most common bacterial infections in children and adolescents and may result in significant morbidity, recurrent infections, and long-term complications if not managed appropriately. This case report describes the diagnosis, management, and clinical outcome of a 16-year-old fe...
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