一起伪装成艰难梭菌感染的诺如病毒医院内暴发感染

David

Clinical Infectious Diseases 2009;48:e75–e77 © 2009 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2009/4807-00E3$15.00
DOI: 10.1086/597299

BRIEF REPORT
A Nosocomial Outbreak of Norovirus Infection Masquerading as Clostridium difficile Infection一起伪装成艰难梭菌感染的诺如病毒医院内暴发感染Hoonmo L. Koo,1,2
Nadim J. Ajami,1,2
Zhi-Dong Jiang,2
Herbert L. DuPont,1,2,3,4
Robert L. Atmar,1
Debra Lewis,5
Patricia Byers,5
Paula Abraham,5
Ricardo A. Quijano,6
Daniel M. Musher,1,5 and
Edward J. Young1,5
1Baylor College of Medicine, 2University of Texas–Houston School of Public Health, 3University of Texas–Houston Medical School, 4St. Luke’s Episcopal Hospital, 5The Michael E. DeBakey Veterans Affairs Medical Center, and 6Houston Department of Health and Human Services, Houston, Texas
Noroviruses (NoVs) are increasingly being recognized as important enteric pathogens. At a university-based hospital, we investigated a nosocomial outbreak of NoV infection that was originally attributed to Clostridium difficile. We describe here the unique challenges of the identification of NoVs as the true etiologic pathogen in an outbreak occurring in a health care setting, where C. difficile infection is endemic, as well as the important lessons learned.

Received 23 August 2008; accepted 24 November 2008; electronically published 26 February 2009.

星火

者的鉴别诊断依据是什么？

David

怕还是依靠实验室的确证吧