Wrestling with Recurrent Infections

By Gayatri Vedantam and Glenn S. Tillotson Wrestling with Recurrent Infections Clostridium difficile is evolving more robust toxicity, repeatedly attacking its victims, and driving the search for alternative therapies to fight the infection. photoillustration by Sean Mccabe; Science Photo Library (boy); Sebastian Kaulitzki/ Istockphoto.com (Intestines); Olena Timashova/Istockphoto.com (Green bacteria); Jiri Flogel/Istockphoto.com (Blue bacteria) As infectiou

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As infectious bacteria go, Clostridium difficile may be one of the most vexing for researchers, clinicians, and patients alike. It spreads from person to person by ingestion of the bacterium’s spores, which can not only remain viable for long periods of time outside of a human host, but can withstand most common disinfectants. Within the body, the spores can survive the acidity of the stomach, germinating in the intestines where the bacteria release toxins that wreak havoc on the bowel, causing severe abdominal pain and diarrhea. And while the proper regime of antibiotics usually eliminates the infection, residual spores can remain, and the bacteria can reemerge with a vengeance weeks or months later.

1 and a third or more of CDI patients experience recurrence of the disease within the first month. Furthermore, recently evolved hypervirulent strains of C. difficile produce robust amounts of the disease-causing toxins, more spores, and additional ...

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