{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:38:53Z","timestamp":1767901133520,"version":"3.49.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"DOI":"10.1186\/s12879-024-09660-y","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T01:01:23Z","timestamp":1722214883000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A case of community-acquired Clostridioides difficile infection causing intussusception, severe pneumonia, and severe hypokalemia"],"prefix":"10.1186","volume":"24","author":[{"given":"Yoshiaki","family":"Iwashita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shizue","family":"Takeuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiro","family":"Hadano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taira","family":"Kawamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Sato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhiro","family":"Kodani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriaki","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoichi","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,29]]},"reference":[{"issue":"80","key":"9660_CR1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/j.jhin.2012.01.001.[Epub","volume":"2012","author":"MH Jen","year":"2012","unstructured":"Jen MH, Saxena S, Bottle A, Pollok R, Holmes A, Aylin P. Assessment of administrative data for evaluating the shifting acquisition of Clostridium difficile infection in England. J Hosp Infect. 2012;2012(80):229\u201337. https:\/\/doi.org\/10.1016\/j.jhin.2012.01.001.[Epub. (PMID: 22306443).","journal-title":"J Hosp Infect"},{"key":"9660_CR2","doi-asserted-by":"publisher","first-page":"bcr06.2009.2017","DOI":"10.1136\/bcr.06.2009.2017","volume":"2010","author":"BR Arumilli","year":"2010","unstructured":"Arumilli BR, Koneru P, Fayyaz I. Toxic megacolon from hypervirulent Clostridium difficile infection (ribotype 027) following elective total knee replacement: An emerging challenge in modern health care. BMJ Case Rep. 2010;2010:bcr06.2009.2017. https:\/\/doi.org\/10.1136\/bcr.06.2009.2017. [Epub 2010 January 13]. PMID: 22242068, PMCID: PMC3029095.","journal-title":"BMJ Case Rep"},{"key":"9660_CR3","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1111\/j.1463-1318.2005.00887.x","volume":"8","author":"C Ausch","year":"2006","unstructured":"Ausch C, Madoff RD, Gnant M, Rosen HR, Garcia-Aguilar J, H\u00f6lbling N, et al. Aetiology and surgical management of toxic megacolon. Colorectal Dis. 2006;8:195\u2013201. https:\/\/doi.org\/10.1111\/j.1463-1318.2005.00887.x. (PMID: 16466559).","journal-title":"Colorectal Dis"},{"issue":"21","key":"9660_CR4","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1016\/j.jiac.2015.09.004.[Epub","volume":"2015","author":"N Mori","year":"2015","unstructured":"Mori N, Aoki Y. Clinical characteristics and risk factors for community-acquired Clostridium difficile infection: A retrospective, case-control study in a tertiary care hospital in Japan. J Infect Chemother. 2015;2015(21):864\u20137. https:\/\/doi.org\/10.1016\/j.jiac.2015.09.004.[Epub. (PMID: 26482373).","journal-title":"J Infect Chemother"},{"key":"9660_CR5","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s13099-019-0336-3","volume":"11","author":"R Saito","year":"2019","unstructured":"Saito R, Usui Y, Ayibieke A, Nakajima J, Prah I, Sonobe K, et al. Hypervirulent clade 2, ribotype 019\/sequence type 67 Clostridioides difficile strain from Japan. Gut Pathog. 2019;11:54. https:\/\/doi.org\/10.1186\/s13099-019-0336-3. PMID: 31700548, PMCID: PMC6827173.","journal-title":"Gut Pathog"},{"key":"9660_CR6","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1093\/gbe\/evt204","volume":"6","author":"KE Dingle","year":"2014","unstructured":"Dingle KE, Elliott B, Robinson E, Griffiths D, Eyre DW, Stoesser N, et al. Evolutionary history of the Clostridium difficile pathogenicity locus. Genome Biol Evol. 2014;6:36\u201352. https:\/\/doi.org\/10.1093\/gbe\/evt204. PMID: 24336451, PMCID: PMC3914685.","journal-title":"Genome Biol Evol"},{"key":"9660_CR7","doi-asserted-by":"publisher","first-page":"e0161923","DOI":"10.1128\/aem.01619-23","volume":"89","author":"T Kawamura","year":"2023","unstructured":"Kawamura T, Prah I, Mahazu S, Ablordey A, Saito R. Types A and F Clostridium perfringens in healthcare wastewater from Ghana. Appl Environ Microbiol. 2023;89:e0161923 [Epub 2023 December 5]. PMID: 38051072, PMCID: PMC10734495.","journal-title":"Appl Environ Microbiol"},{"key":"9660_CR8","doi-asserted-by":"publisher","unstructured":"Jolley KA, Bray JE, Maiden MCJ. Open-access bacterial population genomics: BIGSdb software, the PubMLST.org website and their applications. Wellcome Open Res 2018;3:124. https:\/\/doi.org\/10.12688\/wellcomeopenres.14826.1, PMID: 30345391, PMCID: PMC6192448.","DOI":"10.12688\/wellcomeopenres.14826.1"},{"key":"9660_CR9","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/j.cmi.2019.09.004","volume":"26","author":"HA Shaw","year":"2020","unstructured":"Shaw HA, Preston MD, Vendrik KEW, Cairns MD, Browne HP, Stabler RA, et al. The recent emergence of a highly related virulent Clostridium difficile clade with unique characteristics. Clin Microbiol Infect. 2020;26:492\u20138. https:\/\/doi.org\/10.1016\/j.cmi.2019.09.004. [Epub 2019 September 13]. PMID: 31525517, PMCID: PMC7167513.","journal-title":"Clin Microbiol Infect"},{"key":"9660_CR10","doi-asserted-by":"publisher","unstructured":"Minh BQ, Schmidt HA, Chernomor O, Schrempf D, Woodhams MD, von Haeseler A et al. Corrigendum to: IQ-TREE 2: New models and efficient methods for phylogenetic inference in the genomic era. Mol Biol Evol. 2020;37:2461. https:\/\/doi.org\/10.1093\/molbev\/msaa131. Erratum Mol Biol Evol 2020;37:1530\u20134. https:\/\/doi.org\/10.1093\/molbev\/msaa015, PMID: 32011700, PMCID: PMC7403609.","DOI":"10.1093\/molbev\/msaa131 10.1093\/molbev\/msaa015"},{"key":"9660_CR11","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1097\/00004836-199512000-00025","volume":"21","author":"M Ikuhara","year":"1995","unstructured":"Ikuhara M, Tsang TK, Tosiou A, White EM, Buto SK, Meyer KC. Intussusception in an adult with pseudomembranous colitis. J Clin Gastroenterol. 1995;21:336\u20138. https:\/\/doi.org\/10.1097\/00004836-199512000-00025.","journal-title":"J Clin Gastroenterol"},{"key":"9660_CR12","doi-asserted-by":"publisher","first-page":"102492","DOI":"10.1016\/j.epsc.2022.102492","volume":"88","author":"N Albalawi","year":"2023","unstructured":"Albalawi N, Alzahrani F, Alshehri Y, Alolah A, Mohamed Z, Sukhi K. Intussusception post Clostridium difficile infection in pediatric patient. J Pediatr Surg Case Rep. 2023;88:102492. https:\/\/doi.org\/10.1016\/j.epsc.2022.102492.","journal-title":"J Pediatr Surg Case Rep"},{"key":"9660_CR13","doi-asserted-by":"publisher","first-page":"e153","DOI":"10.1177\/000313481608200709","volume":"82","author":"E Zoog","year":"2016","unstructured":"Zoog E, Turza KC, Major GR, Stanley JD. Adult intussusception caused by ileocecal Clostridium difficile pseudomembranous colitis. Am Surg. 2016;82:e153\u20134. https:\/\/doi.org\/10.1177\/000313481608200709.","journal-title":"Am Surg"},{"key":"9660_CR14","doi-asserted-by":"publisher","first-page":"268","DOI":"10.7556\/jaoa.2016.053","volume":"116","author":"MA Cook","year":"2016","unstructured":"Cook MA, Shah J. Ileocecal intussusception. J Am Osteopath Assoc. 2016;116:268. https:\/\/doi.org\/10.7556\/jaoa.2016.053.","journal-title":"J Am Osteopath Assoc"},{"key":"9660_CR15","doi-asserted-by":"publisher","first-page":"102510","DOI":"10.1016\/j.anaerobe.2021.102510","volume":"74","author":"M Senoh","year":"2022","unstructured":"Senoh M, Kato H. Molecular epidemiology of endemic Clostridioides difficile infection in Japan. Anaerobe. 2022;74:102510 [Epub 2022 January 3]. PMID: 34990814.","journal-title":"Anaerobe"},{"key":"9660_CR16","doi-asserted-by":"publisher","first-page":"e00245","DOI":"10.1128\/MRA.00245-20","volume":"9","author":"Y Usui","year":"2020","unstructured":"Usui Y, Nukui Y, Koike R, Tohda S, Saito R. Draft genome sequence of a Clostridioides difficile sequence Type 97 strain belonging to hypervirulent Clade 2. Microbiol Resour Announc. 2020;9:e00245-20. https:\/\/doi.org\/10.1128\/MRA.00245-20. PMID: 32241860, PMCID: PMC7118186.","journal-title":"Microbiol Resour Announc"}],"container-title":["BMC Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-024-09660-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12879-024-09660-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-024-09660-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T13:20:46Z","timestamp":1722259246000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcinfectdis.biomedcentral.com\/articles\/10.1186\/s12879-024-09660-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,29]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["9660"],"URL":"https:\/\/doi.org\/10.1186\/s12879-024-09660-y","relation":{},"ISSN":["1471-2334"],"issn-type":[{"value":"1471-2334","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,29]]},"assertion":[{"value":"14 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Shimane University Institutional Committee (Approval number: 6699, January 10, 2023).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"We obtained written informed consent for publication of this case report from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"744"}}