Efficacy of fecal microbiota transplantation in 2 children with recurrent Clostridium difficile infection and its impact on their growth and gut microbiome

R Walia, S Garg, Y Song, M Girotra… - Journal of pediatric …, 2014 - journals.lww.com
R Walia, S Garg, Y Song, M Girotra, C Cuffari, WF Fricke, SK Dutta
Journal of pediatric gastroenterology and nutrition, 2014journals.lww.com
Fecal microbiota transplantation (FMT) is recognized as an alternative therapeutic modality
for recurrent Clostridium difficile infection (RCDI); however, data on its efficacy in children
are lacking, including its effect on their growth and fecal microbiota. We report on 2 young
children (< 3 years old) who failed available therapeutics for RCDI, but responded
remarkably well to FMT. Besides resolution of clinical features of C difficile infection (CDI),
FMT administration led to marked improvement in their growth, along with increased …
Abstract
Fecal microbiota transplantation (FMT) is recognized as an alternative therapeutic modality for recurrent Clostridium difficile infection (RCDI); however, data on its efficacy in children are lacking, including its effect on their growth and fecal microbiota. We report on 2 young children (< 3 years old) who failed available therapeutics for RCDI, but responded remarkably well to FMT. Besides resolution of clinical features of C difficile infection (CDI), FMT administration led to marked improvement in their growth, along with increased microbiota diversity, especially proportion of Bacteroides. Our 2 cases illustrate the efficacy of FMT in children with RCDI and its positive effect on their growth and gut microbiota.
Lippincott Williams & Wilkins