Abstract
The diarrheal disease produced by Clostridium difficile has a clinical picture that can vary from mild forms to life-threatening forms with a high risk of recurrence.
The classic clinical picture described at that time was post-antibiotic, nosocomial diarrhea, which especially affects the elderly.
It is the case of a male child of 5 years and 10 months, who presented himself in the morning with vomiting, diarrheal stools and flatulence. He underwent antibiotic treatment for 5 days for acute erythematous angina. From a biological point of view, the blood count is within normal limits, minimal inflammatory tests, examination of coproculture is normal.
Clostridium Difficile infection or viral infection with Rotavirus, Norovirus or Adenovirus is suspected. A digestive multiplex panel is performed with a positive Clostridium difficile test and positive rotavirus, norovirus and adenovirus antigens. The treatment instituted was antibiotic, hydroelectrolytic balance, simpatomatic, accompanied by a hygienic-dietary regimen, with a favorable evolution.
Acute gastroenteritis with Clostridium difficile is a disease with severe complications in children. Its typical nosocomial character begins to be less and less specific, with the increase in the rate of community infections, which should make clinicians aware and make them more responsible in terms of recommending antibiotic therapy in outpatient settings.