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C diff
Feb 16, 2007

Dear Doctor,

My roommate, who is HIV positive and has been undetectable for years, was currently hospitalized for c diff. However, I notice that the signs of c diff are the same as that of salmonella. When he was tested for c diff, would they have tested him for salmonella also? The HIV doctor said that it was unusual for a person with a t cell count of 680 to get c diff. Is it possible to test positive for c diff and have salmonella at the same time? I ask this question because we have three jars of the suspected contaminated peanut butter. Thanks from the South.

Response from Dr. Henry

Often but certainly not always would stool in an HIV + person with diarrhea be checked for Salmonella. C difficule can cause severe diarrhea in HIV+ or HIV- patients. Patients could have both C difficule and Salmonella though that would be less common than either infection alone. If diarrhea/symptoms persist then it wouuld be worth asking about other infections including Salmonella. KH

Cd4 count.

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