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Emergence of a Novel Binary Toxin–Positive Strain of Clostridium difficile Associated With Severe Diarrhea That Was Not Ribotype 027 and 078 in China

  • Chunhui Li (a1), Sidi Liu (a1), Pengcheng Zhou (a1), Juping Duan (a1), Qingya Dou (a1), Rui Zhang (a2), Hong Chen (a2), Ying Cheng (a2) and Anhua Wu (a1)...
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      Emergence of a Novel Binary Toxin–Positive Strain of Clostridium difficile Associated With Severe Diarrhea That Was Not Ribotype 027 and 078 in China
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      Emergence of a Novel Binary Toxin–Positive Strain of Clostridium difficile Associated With Severe Diarrhea That Was Not Ribotype 027 and 078 in China
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Abstract
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Corresponding author
Address correspondence to Anhua Wu, MD, Infection Control Center, Xiangya Hospital, Central South University, Changsha, Hunan Province, China (xywuanhua@csu.edu.cn).
References
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1. Bartlett, JG. Clostridium difficile: progress and challenges. Ann NY Acad Sci 2010;1213:6269.
2. Magill, SS, Edwards, JR, Bamberg, W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:11981208.
3. Wang, P, Zhou, Y, Wang, Z, et al. Identification of Clostridium difficile ribotype 027 for the first time in mainland China. Infect Control Hosp Epidemiol 2014;35:9598.
4. Pituch, H, Kreft, D, Obuch-Woszczatynski, P, et al. Clonal spread of a Clostridium difficile strain with a complete set of toxin A, toxin B, and binary toxin genes among Polish patients with Clostridium difficile-associated diarrhea. J Clin Microbiol 2005;43:472475.
5. Carter, GP, Douce, GR, Govind, R, et al. The anti-sigma factor TcdC modulates hypervirulence in an epidemic BI/NAP1/027 clinical isolate of Clostridium difficile . PLOS Pathog 2011;7:e1002317.
6. Goorhuis, A, Bakker, D, Corver, J, et al. Emergence of Clostridium difficile infection due to a new hypervirulent strain, polymerase chain reaction ribotype 078. Clin Infect Dis 2008;47:11621170.
7. Lim, SK, Stuart, RL, Mackin, KE, et al. Emergence of a ribotype 244 strain of Clostridium difficile associated with severe disease and related to the epidemic ribotype 027 strain. Clin Infect Dis 2014;58:17231730.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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