Abstract
To the Editor: The increased severity of Clostridium difficile infection is primarily attributed to the appearance of an epidemic strain characterized as PCR ribotype 027 (1). The only report that identified epidemic C. difficile ribotype 027 in an American country outside of North America comes from Costa Rica, raising the possibility that strains 027 might also be present in other countries of Latin America (2). Several studies between 2001 and 2009 have been conducted in South American countries to detect the incidence of C. difficile infection in hospitalized patients, but they did not identify which C. difficile strains were causing these infections (3).
Highlights
To the Editor: The increased severity of Clostridium difficile infection is primarily attributed to the appearance of an epidemic strain characterized as PCR ribotype 027 (1)
Two cases of C. difficile infection were associated with ribotype 027
C. difficile was isolated from stool samples according to published protocols (4)
Summary
Novel hepatitis E virus genotype in Norway rats, Germany. 9. Rutjes SA, Lodder WJ, Lodder-Verschoor F, van den Berg HH, Vennema H, Duizer E, et al Sources of hepatitis E virus genotype 3 in the Netherlands. Epidemiology of hepatitis E virus in the United States: results from the third national health and nutrition examination survey, 1988–1994. Epidemic Clostridium difficile Ribotype 027 in Chile
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