Folia Medica (Aug 2021)

Coinfection of the intestinal tract with Aeromonas hydrophila, Clostridium difficile and Rotavirus - a case report

  • Petar Vasilev,
  • Mariya Ivanovska,
  • Gergana Lengerova,
  • Atanaska Petrova,
  • Eli Hristozova,
  • Marianna Murdjeva,
  • Mariyana Stoycheva

DOI
https://doi.org/10.3897/folmed.63.e55496
Journal volume & issue
Vol. 63, no. 4
pp. 576 – 581

Abstract

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Most cases of acute diarrhea in adults are of infectious etiology, likely viral and self-limited. Among those with severe diarrhea, however, bacterial causes are responsible for most cases.Apart from the standard stool cultures, to increase the positive yield a novel multiplex molecular test can be performed simultaneously. The authors present a patient with recurrent diarrhea and detection of Aeromonas hydrophila by culturing and Rotavirus and Clostridioides difficile by multiplex molecular test. They discuss and justify which is the most likely actionable pathogen. Good communication between the physicians and interpretation on the multiple positive results in the context of clinical picture and the test employed were important for a better management and favourable outcome of the patient.

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