Untreated diarrheal episode

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Reference no: EM133820788

Question

You are asked to see a 1-month-old infant to provide a second opinion. During a brief, self-limited, and untreated diarrheal episode the previous week, his primary physician ordered a stool assay for Clostridium difficile toxin; the result is positive. The infant now is completely asymptomatic, active, smiling, and well hydrated. His physician said treatment was not necessary, but the mother wants treatment. Which of the following is the most appropriate response? Clostridium difficile commonly colonizes the intestine of infants; treatment without symptoms is not warranted. The infant should take a 7-day course of oral metronidazole. The infant should be admitted to the hospital for intravenous metronidazole. The infant should take a 10-day course of oral vancomycin. A repeat study to look for the C difficile organism is warranted.

Reference no: EM133820788

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