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
相关论文
共 15 条
  • [11] A CASE OF CECOCOLIC INTUSSUSCEPTION WITH COMPLETE INVAGINATION AND INTUSSUSCEPTION OF THE APPENDIX WITH VILLOUS ADENOMA
    SADAHIRO, S
    OHMURA, T
    YAMADA, Y
    SAITO, T
    AKATSUKA, S
    [J]. DISEASES OF THE COLON & RECTUM, 1991, 34 (01) : 85 - 88
  • [12] Clostridium difficile Infection in Infants and Children
    Schutze, Gordon E.
    Willoughby, Rodney E.
    Brady, Michael T.
    Byington, Carrie L.
    Davies, H. Dele
    Edwards, Kathryn M.
    Glode, Mary P.
    Jackson, Mary Anne
    Keyserling, Harry L.
    Maldonado, Yvonne A.
    Murray, Dennis L.
    Orenstein, Walter A.
    Schutze, Gordon E.
    Willoughby, Rodney E.
    Zaoutis, Theoklis E.
    [J]. PEDIATRICS, 2013, 131 (01) : 196 - 200
  • [13] Microbiota Dynamics in Patients Treated with Fecal Microbiota Transplantation for Recurrent Clostridium difficile Infection
    Song, Yang
    Garg, Shashank
    Girotra, Mohit
    Maddox, Cynthia
    von Rosenvinge, Erik C.
    Dutta, Anand
    Dutta, Sudhir
    Fricke, W. Florian
    [J]. PLOS ONE, 2013, 8 (11):
  • [14] Fecal Microbial Transplantation in Early-Onset Colitis: Caution Advised
    Vandenplas, Y.
    Veereman, G.
    ten Bosch, J. van der Werff
    Goossens, A.
    Pierard, D.
    Samsom, J. N.
    Escher, J. C.
    [J]. JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2015, 61 (03) : E12 - E14
  • [15] Clostridium difficile Infections among Hospitalized Children, United States, 1997-2006
    Zilberberg, Marya D.
    Tillotson, Glenn S.
    McDonald, L. Clifford
    [J]. EMERGING INFECTIOUS DISEASES, 2010, 16 (04) : 604 - 609