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Cited by 420

The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.

Clostridium difficile Infection

Kelly, Ciarán P., LaMont, J. Thomas·1998·Annual Review of Medicine

Abstract

Clostridium difficile infection is associated with broad-spectrum antibiotic therapy and is the most common cause of infectious diarrhea in hospital patients. Pathogenic strains of C. difficile produce two protein exotoxins, toxin A and toxin B, which cause colonic mucosal injury and inflammation. Infection may be asymptomatic, cause mild diarrhea, or result in severe pseudomembranous colitis. Diagnosis depends on the demonstration of C. difficile toxins in the stool. The first step in management is to discontinue the antibiotic that caused diarrhea. If diarrhea and colitis are severe or persistent, oral metronidazole is the treatment of choice. Oral vancomycin is also effective, but it is more expensive than metronidazole and its widespread use may encourage the proliferation of vancomycin-resistant nosocomial bacteria. Diarrhea and colitis usually improve within three days after a patient starts taking metronidazole or vancomycin, but 20% suffer a relapse of diarrhea when these agents are discontinued.

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Crossref · 10.1146/annurev.med.49.1.375

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Metadata

Authors
Kelly, C. P., & LaMont, J. T.
Venue
Annual Review of Medicine
Published
1998-02
Volume
49
Issue
1
Pages
375-390
ISSN
  • 0066-4219 (ISSN-L)
  • 1545-326X
OpenAlex
W2393115371
Cited by
420
References
56
FWCI
2.31
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Clostridium difficile Infection. https://app.cochat.ai/papers/10.1146/annurev.med.49.1.375
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Kelly, C. P., & LaMont, J. T. (1998). Clostridium difficile Infection. Annual Review of Medicine. https://doi.org/10.1146/annurev.med.49.1.375

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.