Folia Medica 63(4): 576-581, doi: 10.3897/folmed.63.e55496
Coinfection of the intestinal tract with Aeromonas hydrophila, Clostridium difficile and Rotavirus - a case report
expand article infoPetar Vasilev§, Mariya Ivanovska§, Gergana Lengerova§, Atanaska Petrova§, Eli Hristozova§, Marianna Murdjeva§, Mariyana Stoycheva§
‡ Medical University of Plovdiv, Plovdiv, Bulgaria§ St George University Hospital, Plovdiv, Bulgaria
Open Access

Most cases of acute diarrhea in adults are of infectious etiology, likely viral and self-limited. Among those with severe diarrhea, however, bacterial causes are responsible for most cases.

Apart from the standard stool cultures, to increase the positive yield a novel multiplex molecular test can be performed simultaneously. The authors present a patient with recurrent diarrhea and detection of Aeromonas hydrophila by culturing and Rotavirus and Clostridioides difficile by multiplex molecular test. They discuss and justify which is the most likely actionable pathogen. Good communication between the physicians and interpretation on the multiple positive results in the context of clinical picture and the test employed were important for a better management and favourable outcome of the patient.

Aeromonas hydrophila, Clostridioides difficile, multiplex PCR