Clostridium Difficile Infection: An Immunological Conundrum

摘要

The lack of comprehensive understanding of the way immunity backfires on incidence and complications has madeClostridium difficileinfection (CDI), the infectious disease of our times, as evidenced by in the parallel course it follows along epidemic of chronic degenerative diseases. Within these ailments, if as suspected the main effect ofClostridium difficileA and B toxins depends on inflammation, then aberrant immune function due to antibiotics would explain IBD triggering after treatment but also, the higher incidence and mortality surrounding disorders that are inflammatory and/or that show abatement of neutrophils. This review will discuss severity of the disease in terms of challenges to immunity during the progression of acute illness. We will identify the common signals in the communication between microbiota and inflammatory cells, as well as the sequestration of the regulatory network byClostridium difficile, which leads to tissue damage and prevents its elimination from intestinal lumen.