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Journal of Clinical Microbiology, January 2005, p. 472-475, Vol. 43, No. 1
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.1.472-475.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Clonal Spread of a Clostridium difficile Strain with a Complete Set of Toxin A, Toxin B, and Binary Toxin Genes among Polish Patients with Clostridium difficile-Associated Diarrhea

Hanna Pituch,1* Deborah Kreft,2 Piotr Obuch-Woszczatynski,1 Dorota Wultanska,1 Felicja Meisel-Mikolajczyk,1 Miroslaw Luczak,1 and Alex van Belkum2

Department of Medical Microbiology, The Medical University of Warsaw, Warsaw, Poland,1 Department of Medical Microbiology and Infectious Diseases, Erasmus MC, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands2

Received 14 June 2004/ Returned for modification 13 August 2004/ Accepted 1 September 2004

Clinically relevant Clostridium difficile strains usually produce toxins A and B. Some C. difficile strains can produce an additional binary toxin. We report clonality among five strains carrying all toxin genes from Polish patients with C. difficile-associated diarrhea. In another strain, possible recombination between binary toxin genes is documented.

* Corresponding author. Mailing address: Chair and Department of Medical Microbiology, The Medical University of Warsaw, 5 Chalubinski Street, 02-004 Warsaw, Poland. Phone: 00478-226282739. Fax: 00478-226282739. E-mail: hanna.pituch{at}ib.amwaw.edu.pl.

Journal of Clinical Microbiology, January 2005, p. 472-475, Vol. 43, No. 1
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.1.472-475.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



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