Evaluation of viral co-infections among patients with community-associated Clostridioides difficile infection

PLoS One. 2020 Oct 19;15(10):e0240549. doi: 10.1371/journal.pone.0240549. eCollection 2020.

Abstract

We assessed viral co-infections in 155 patients with community-associated Clostridioides difficile infection in five U.S. sites during December 2012-February 2013. Eighteen patients (12%) tested positive for norovirus (n = 10), adenovirus (n = 4), rotavirus (n = 3), or sapovirus (n = 1). Co-infected patients were more likely than non-co-infected patients to have nausea or vomiting (56% vs 31%; p = 0.04), suggesting that viral co-pathogens contributed to symptoms in some patients. There were no significant differences in prior healthcare or medication exposures or in CDI complications.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adenoviridae / isolation & purification
  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Clostridioides difficile / isolation & purification
  • Clostridium Infections / epidemiology*
  • Coinfection* / diagnosis
  • Coinfection* / epidemiology
  • Community-Acquired Infections / epidemiology*
  • Feces / microbiology
  • Feces / virology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Norovirus / isolation & purification
  • Rotavirus / isolation & purification
  • Sapovirus / isolation & purification
  • United States / epidemiology
  • Virus Diseases* / diagnosis
  • Virus Diseases* / epidemiology
  • Young Adult

Grants and funding

This work was funded by the Centers for Disease Control and Prevention, which had a role in study design, date collection and analysis, decision to publish, and preparation of the manuscript.