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Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature
Reactive arthritis is a rare complication of Clostridium difficile enterocolitis, especially in children. We review the 6 pediatric cases published in the English and non-English literature and discuss their clinical presentation, outcome, treatment, and pathophysiology. We also report the seventh c...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850252/ https://www.ncbi.nlm.nih.gov/pubmed/27190666 http://dx.doi.org/10.1155/2016/1591753 |
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author | Cappella, Michela Pugliese, Fabrizio Zucchini, Andrea Marchetti, Federico |
author_facet | Cappella, Michela Pugliese, Fabrizio Zucchini, Andrea Marchetti, Federico |
author_sort | Cappella, Michela |
collection | PubMed |
description | Reactive arthritis is a rare complication of Clostridium difficile enterocolitis, especially in children. We review the 6 pediatric cases published in the English and non-English literature and discuss their clinical presentation, outcome, treatment, and pathophysiology. We also report the seventh case of Clostridium difficile reactive arthritis in a 6-year-old boy who was treated with amoxicillin-clavulanate for 10 days because of an upper respiratory infection. After the antibiotic course, the child developed at the same time diarrhea with positive stool culture for Clostridium difficile and an asymmetric polyarthritis. Nonsteroidal anti-inflammatory drugs and metronidazole completely resolved the pain, joint swelling, and diarrhea. After twelve months of follow-up there has been no recurrence. This report confirms the self-limiting course of Clostridium difficile reactive arthritis. Clostridium difficile testing in children with gastrointestinal symptoms and acute onset of joint pain should be always considered. |
format | Online Article Text |
id | pubmed-4850252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-48502522016-05-17 Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature Cappella, Michela Pugliese, Fabrizio Zucchini, Andrea Marchetti, Federico Case Rep Pediatr Case Report Reactive arthritis is a rare complication of Clostridium difficile enterocolitis, especially in children. We review the 6 pediatric cases published in the English and non-English literature and discuss their clinical presentation, outcome, treatment, and pathophysiology. We also report the seventh case of Clostridium difficile reactive arthritis in a 6-year-old boy who was treated with amoxicillin-clavulanate for 10 days because of an upper respiratory infection. After the antibiotic course, the child developed at the same time diarrhea with positive stool culture for Clostridium difficile and an asymmetric polyarthritis. Nonsteroidal anti-inflammatory drugs and metronidazole completely resolved the pain, joint swelling, and diarrhea. After twelve months of follow-up there has been no recurrence. This report confirms the self-limiting course of Clostridium difficile reactive arthritis. Clostridium difficile testing in children with gastrointestinal symptoms and acute onset of joint pain should be always considered. Hindawi Publishing Corporation 2016 2016-04-14 /pmc/articles/PMC4850252/ /pubmed/27190666 http://dx.doi.org/10.1155/2016/1591753 Text en Copyright © 2016 Michela Cappella et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Cappella, Michela Pugliese, Fabrizio Zucchini, Andrea Marchetti, Federico Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature |
title |
Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature |
title_full |
Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature |
title_fullStr |
Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature |
title_full_unstemmed |
Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature |
title_short |
Clostridium difficile Enterocolitis and Reactive Arthritis: A Case Report and Review of the Literature |
title_sort | clostridium difficile enterocolitis and reactive arthritis: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850252/ https://www.ncbi.nlm.nih.gov/pubmed/27190666 http://dx.doi.org/10.1155/2016/1591753 |
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