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What Causes Fever, Diarrhea And Vomiting While Treating Strep In A Child?

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Posted on Mon, 27 Jun 2016
Question: Patient is seven year old boy, with history of vomiting, fever, diarrhea, with bouts of delirium, for three weeks. Was treated for strep before the vomiting etc started.

I am concerned about possible C-diff
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Answered by Dr. Panagiotis Zografakis (41 minutes later)
Brief Answer:
pseudomembranous colitis sounds likely

Detailed Answer:
Hello,

having fever and diarrhea after using antibiotics raises suspicions for pseudomembranous colitis by Clostridium difficile. Testing the stool for Cl. difficile toxin is the easiest test to quickly find out. Colonoscopy may provide diagnostic findings.

Delirium suggests pretty serious infection (probably bacteremia) and urgent investigation and treatment is warranted.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Fever, Diarrhea And Vomiting While Treating Strep In A Child?

Brief Answer: pseudomembranous colitis sounds likely Detailed Answer: Hello, having fever and diarrhea after using antibiotics raises suspicions for pseudomembranous colitis by Clostridium difficile. Testing the stool for Cl. difficile toxin is the easiest test to quickly find out. Colonoscopy may provide diagnostic findings. Delirium suggests pretty serious infection (probably bacteremia) and urgent investigation and treatment is warranted. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!