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Alter ego search tool|Global search tool|Military search. you can download it under For me, I’m not. to the page. “Seeing as the New Zealand Department of Internal. Description of a/an:.], [@B26], [@B48]). A later study by Schulz et al. ([@B14]), who included in their analysis of the investigated patients only those with positive results for the detection of *C. difficile* DNA by PCR (38 out of 45 patients), found that in 40% of the patients who displayed this marker, *C. difficile* culture grew only in one or both fecal samples, whereas in 16% of the patients, fecal samples that were both culture positive for *C. difficile* DNA and displayed a positive PCR assay yielded no growth in culture.
Our study shows that the concurrent excretion of *C. difficile* DNA and *C. difficile* toxins in patients with CDI and in healthy controls cannot be considered as a useful tool for diagnosing CDI, since none of the patients with positive ELISA testing for *C. difficile* toxins and negative culture grew *C. difficile* in the fecal samples. A similar result was obtained by Furuta et al. ([@B22]) who investigated *C. difficile* infection in elderly Japanese patients with diarrhea and demonstrated that in these patients, the combination of the assays for the detection of *C. difficile* in the feces and blood was most helpful in the diagnosis of CDI. In that study, serum *C. difficile*-toxin ELISA in patients with CDI had a sensitivity of 100% and a negative predictive value of 99.9%. Thus, combined assays for the detection of *C. difficile* DNA and toxins in feces or blood yielded a better sensitivity than any of these assays alone. However, a recent study conducted at Emory University in Atlanta (USA) using a larger series of 90 patients with a diagnosis of CDI showed that despite the high specificity of the ELISA for detecting anti-t