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Doctor insights on: Clostridium Diff Cult W Reflex

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Clostridium difficile toxin b gene present clostridium dificile antigen presen. Would u no how severe the c diff is?

Clostridium difficile toxin b gene present
clostridium dificile antigen presen. Would u no how severe the c diff is?

Have diarrhea or no?: C.Difficile is pathogenic in older children & adults (whose colonic microflora are altered by antibiotics, chemotherapy, salmonella/shigella). C.Diff causes diarrhea w/pseudomembranous & other colitis, complicates inflammatory bowel disease, causes fulminant transmural extension, perforation with peritonitis, toxic megacolon. Treatment, & confirmation of post-treatment eradication, is recommended. ...Read more

Dr. Stephen Scholand
456 doctors shared insights

Clostridium Difficile (Definition)

C. Diff, it is a spore forming bacillus that when the micro environment of the colon is modified by antimicrobials, it can germinate and elaborate a toxin causing pseudo membranous colitis, ...Read more


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Cdiff 4yrs ago - now have LUQ & soft/loose stools. CDIFF TOXIN/GDH W/REFL TO PCR Result: Toxigenic C. difficile detected New infection or colonized?

Cdiff 4yrs ago - now have LUQ & soft/loose stools. CDIFF TOXIN/GDH W/REFL TO PCR Result: Toxigenic C. difficile detected
New infection or colonized?

Monitor: Once you have C. diff there is a reasonable chance you can be colonized. The criteria for infection include watery stools in excess of 3-4 times daily. The pain or discomfort is usually in the lower abdomen. Soft stools with a relatively low daily frequency usually are not indicative of C. diff. In summary, the presence of C. diff. in your stool in itself is not indicative of infection ...Read more

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C. Difficile related to experiences with vancocin (vancomycin)?

C. Difficile  related to experiences with vancocin (vancomycin)?

C. Difficile: Mild cases of c. Difficile infection can often be cured by discontinuing the antibiotics responsible.In more serious cases, oral administration of, first, oral Metronidazole and - if that fails - then, second, vancomycin and if unsucessful again, intravenous Metronidazole can be used. Relapses of c. Difficile have been reported in up to 20% of cases. ...Read more

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Antibioticinduced pancolitis from amoxicillin treated w IV cipro (ciprofloxacin) 1 dose Flagyl q8 4d vanco po q6 4d 3 neg stool cultures home w vanco 11d should take?

Antibioticinduced pancolitis from amoxicillin treated w IV cipro (ciprofloxacin) 1 dose Flagyl q8 4d vanco po q6 4d 3 neg stool cultures home w vanco 11d should take?

Diagnosis accurate?: Colitis induce by Amoxicillin is usually due to clostridium difficile (not identified by culture). The course of therapy you are receiving is questionable, but then again you have not given a good deal of necessary information. If your diarrhea returns when finished with the vancomycin you should see an infectious diseases expert. Hope this clears soon. ...Read more

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Suggests contamination with urogenital or skin flora. >100,000 CFU/ml Lactobacillus species. 20,000 CFU/ml mixed gram positive flora. What's it mean?

Suggests contamination with urogenital or skin flora. 
>100,000 CFU/ml Lactobacillus species.
20,000 CFU/ml mixed gram positive flora. 
What's it mean?

Means contaminated: Urine specimen from the surrounding area around urethra (opening where the urine comes out from). You may want to repeat the test , if your doctor still wants that, get a clean catch specimen, which entails cleansing the area first, passing some urine, then obtain a midstream urine sample, follow the lab instructions for that, best wishes ...Read more

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Urine culture shows kllebsiella pneumonia(esbl+carbapenemase).Sensitive drugs only 2 out of 30 antimicrobial.I.E. Colistin & polymyxin b.What to do?

Urine culture shows kllebsiella pneumonia(esbl+carbapenemase).Sensitive drugs only 2 out of 30 antimicrobial.I.E. Colistin & polymyxin b.What to do?

Multidrug resistance: More information is needed before advising on what to do next. Why was the urine culture checked? what were the patient's complain? ---> It may be what we call asymptomatic bacteriuria. In that case no treatment is indicated. ...Read more

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2 yo w/ watery diarrhea, cyclic vomiting 3 wks. Brother similar. Bact stool cult, O&P neg, but eos 16%, WBC 11.3. Parasites? What next dx/tx?

2 yo w/ watery diarrhea, cyclic vomiting 3 wks.  Brother similar.  Bact stool cult, O&P neg, but eos 16%, WBC 11.3.  Parasites?  What next dx/tx?

GI: I would suggest at least three Os/Ps, a food allergy panel ( immunocap), dietary history and then a GI consult. In the meantime, avoiding any milk based products and probiotics to treat the diarrhea. Thank you for sharing this case. ...Read more

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H pylori gastritis showed in EGD. Pain, nausea, treated 3 x with antibiotics. h p. positive. Is L glutamine and probiotic good to fight inflammation?

H pylori gastritis showed in EGD. Pain, nausea, treated 3 x with antibiotics.  h p. positive. Is L glutamine and probiotic good to fight inflammation?

Inflammation: Those products won't eradicate inflammation. Specific treatment with three antibiotics and bismuth for 2 weeks is usually successful in eradicating H.Pylori and ppi medications like nexium or protonix treat inflammation. In my opinion probiotics aren't helpful in treating gastritis. ...Read more

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URINE CLEAN CATCH 8,000 CFU/ML GR. B BETA HEMOLYTIC STREP <10,000 CFU/ML MIXED UROGENITAL FLORA Doc did not give abx for this. What does it mean?

URINE CLEAN CATCH 
8,000 CFU/ML GR. B BETA HEMOLYTIC STREP
<10,000 CFU/ML MIXED UROGENITAL FLORA
Doc did not give abx for this. What does it mean?

No infection.: Strep often colonlizes the genital tract without causing infection; it doesn't require treatment when found in the urine or on a genital swab unless you're pregnant. Mixed flora means the urine sample you gave was contaminated with bacteria from your genital skin/hair and doesn't indicate infection. If you are having painful urination, frequency, or urgency, get re-tested. ...Read more

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X lab: urine culture test positive with e --coli. Y lab: no significant growth z lab (renowned in our city) klebsiella pneumoniae. What to do?

X lab: urine culture test positive with e --coli. 
Y lab: no significant growth
z lab (renowned in our city) klebsiella pneumoniae. What to do?

Pick your favorite.: Pick your favorite doctor that is. Something fishy is going on here. Need to get a good doc who can understand your symptoms and order and interpret testing. May want to reports discrepant results to labs. ...Read more

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I have a conflict in specialists. Gi issues after cdiff. And recurrent kleb utis. -stool culture -ct-mri-belly film -us. Gi wants scope but I have +uti no flora. Believe it's kleb overgrowth. Help.

I have a conflict in specialists. Gi issues after cdiff. And recurrent kleb utis. -stool culture -ct-mri-belly film -us. Gi wants scope but I have +uti no flora. Believe it's kleb overgrowth. Help.

Depends: If you have GI symptoms and are in an age group at risk for colon cancer, then it seems reasonable to have the scope; that said, any GI infection may be followed by chronic symptoms even after the infection is cleared;. ...Read more

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5 chronic skin ulcer 2 cultures gram- ancintobacter anaerobic taken PO doxy,Cef,Kef,Clinda,Amox,Cipr no immune diseases, why cant the bacteria die?

5 chronic skin ulcer 2 cultures gram- ancintobacter anaerobic taken PO doxy,Cef,Kef,Clinda,Amox,Cipr no immune diseases, why cant the bacteria die?

See a dermatologist: Begin with a diagnosis. First define why you have skin ulcers. Where? How long? etc. It is NEVER a simple question of which bacteria and which antibiotics. MOST skin ulcers should not be treated with antibiotics at all. I suspect you are being treated by someone who should refer you to a more knowledgable DR. ...Read more

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My son's stool analysis shows positive rotavirus and Entamoeba 0 - 1 / HPF. Diarrhea & fever. Does he require any medication or self healing??

My son's stool analysis shows positive rotavirus and Entamoeba 0 - 1 / HPF. Diarrhea & fever. Does he require any medication or self healing??

Diarrhea: is best treated with a clear liquid diet. There is no specific medication for treatment of Rotavirus. Clear liquids only until diarrhea resolves and then add a BRAT diet: B = bananas R = rice A = applesauce T = toast (dry - no butter) or saltine crackers Jello and chicken soup are clear liquids that provide some protein. If signs of dehydration occur, seek medical attention. ...Read more