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Letter in Response to the Article "Optimum Timing of Blood Tests for Monitoring Patients With Clostridium difficile-Associated Diarrhea" (J Investig Med.2010;58[4]:621-624)
  1. Chaitanya Pant, MD,
  2. Thomas J. Sferra, MD,
  3. Pat F. Bass, MD,
  4. Gary V. Burton, MD,
  5. Anil Minocha, MD
  1. Department of Medicine, Louisiana State University Health Science, Center, Shreveport, Shreveport, LA.

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To the Editor:

Bhangu et al.1have published their findings on the optimum timing of blood tests for patients with Clostridium difficile-associated diarrhea (CDAD). They report that the white cell blood (WBC) count in the first 3 days of disease is the strongest serum predictor of mortality and should be routinely monitored. Also, a WBC count of 20 ×109/L or greater may be the best cutoff value to objectively identify cases at higher risk of death.

We conducted a retrospective chart review to assess the …

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