Efficacy of Fecal Microbiota Transplantation in 2 Children With Recurrent Clostridium difficile Infection and Its Impact on Their Growth and Gut Microbiome

被引:32
作者
Walia, Ritu [1 ]
Garg, Shashank [2 ]
Song, Yang [3 ]
Girotra, Mohit [2 ]
Cuffari, Carmen [4 ]
Fricke, Wolfgang Florian [3 ]
Dutta, Sudhir K. [5 ]
机构
[1] W Virginia Univ, Div Pediat Gastroenterol, Dept Pediat, Charleston, WV USA
[2] Sinai Hosp, Div Gastroenterol, Dept Med, Program Internal Med, Baltimore, MD 21215 USA
[3] Univ Maryland, Sch Med, Inst Genome Sci, Baltimore, MD 21201 USA
[4] Johns Hopkins Univ, Dept Pediat, Div Pediat Gastroenterol, Baltimore, MD 21218 USA
[5] Sinai Hosp, Dept Med, Div Gastroenterol, Baltimore, MD 21215 USA
关键词
Clostridium difficile infection; fecal microbiota transplantation; growth; recurrent; INFANTS;
D O I
10.1097/MPG.0000000000000495
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Fecal microbiota transplantation (FMT) is recognized as an alternative therapeutic modality for recurrent Clostridium difficile infection (RCDI); however, data on its efficacy in children are lacking, including its effect on their growth and fecal microbiota. We report on 2 young children (<3 years old) who failed available therapeutics for RCDI, but responded remarkably well to FMT. Besides resolution of clinical features of C difficile infection (CDI), FMT administration led to marked improvement in their growth, along with increased microbiota diversity, especially proportion of Bacteroides. Our 2 cases illustrate the efficacy of FMT in children with RCDI and its positive effect on their growth and gut microbiota.
引用
收藏
页码:565 / 570
页数:6
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