Clostridium difficile diarrhea in patients with AIDS versus Non-AIDS controls methods of treatment and clinical response to treatment

John C. Cozart, Sathya S. Kalangi, Mary H. Clench, Donald R. Taylor, Michael J. Borucki, Richard B. Pollard, Roger D. Soloway

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

We reviewed the hospital charts of 17 patients with AIDS and Clostridium difficile diarrhea to determine antibiotic use before C. difficile infection, methods of treatment for C. difficile diarrhea, and response of diarrhea to treatment. Left shift and total white blood cell count before and after treatment for C. difficile were also determined. Non-HIV-infected patients with C. difficile diarrhea served as controls. In the patients with AIDS, resolution of diarrhea was noted in 15 (88%) patients. In 25 (76%) control patients, diarrhea resolved with treatment. The patients with AIDS also had a significant decrease (p ¼ 0.05) in left shift in white blood cell count with treatment; the controls did not. Our study therefore suggests that C. difficile diarrhea is at least as likely to resolve with antibiotic therapy in patients with AIDS as it is in those with the non-AIDS-related disorder. We also found that patients with AIDS and C. difficile diarrhea are more likely than patients without AIDS to have a decreased left shift in white blood cell count after antibiotic therapy.

Original languageEnglish (US)
Pages (from-to)192-194
Number of pages3
JournalJournal of clinical gastroenterology
Volume16
Issue number3
DOIs
StatePublished - Apr 1993

    Fingerprint

Keywords

  • AIDS
  • Clostridium difficile
  • Diarrhea

ASJC Scopus subject areas

  • Gastroenterology

Cite this