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 SPECIAL ARTICLE
Year : 2002  |  Volume : 20  |  Issue : 4  |  Page : 178-182

Faecal excretion of brush border membrane enzymes in patients with clostridium difficile diarrhoea


Department of Gastroenterology, PGIMER, Chandigarh - 160 012, India

Correspondence Address:
C Vaishnavi
Department of Gastroenterology, PGIMER, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


PMID: 17657066

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PURPOSE: To look for the presence of intestinal brush border membrane (BBM) enzymes in the faecal samples of patients with Clostridium difficile association. METHODS: One hundred faecal samples were investigated for C.difficile toxin (CDT). Simultaneous assays for faecal excretion of intestinal BBM enzymes viz., disaccharidases, alkaline phosphatase (AP) and leucine aminopeptidase (LAP) were also done. RESULTS: C.difficile toxin was detected in 25 (25%) of the samples with a titre ranging from 10 to 160. No significant difference (p>0.05) was seen between the CDT positive and negative groups with any of the disaccharidases studied. However, significant increase (p<0.05) in the AP excretion was observed in the CDT positive patients compared to the CDT negative group. In contrast to this, a significant decrease (p<0.001) in the LAP enzyme excretion was observed in the latter group. CONCLUSIONS: The results of this study suggest that there is a significant disturbance in the intestinal BBM enzymes in patients with C.difficile diarrhoea.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04