RT Journal Article SR Electronic T1 Detection of Clostridium perfringens and its enterotoxin in cases of sporadic diarrhoea. JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 609 OP 611 DO 10.1136/jcp.45.7.609 VO 45 IS 7 A1 M M Brett A1 J C Rodhouse A1 T J Donovan A1 G M Tebbutt A1 D N Hutchinson YR 1992 UL http://jcp.bmj.com/content/45/7/609.abstract AB AIMS: To determine the incidence of sporadic and apparently non-food related diarrhoea associated with Clostridium perfringens enterotoxin. METHODS: Enzyme linked immunosorbent assay (ELISA) and reversed phase latex agglutination (RPLA) were used to detect C perfringens enterotoxin in faecal specimens from 818 sporadic cases of diarrhoea. RESULTS: C perfringens enterotoxin was identified as a cause of sporadic diarrhoea in 56 of 818 (6.8%) cases. Diarrhoea was prolonged (three days or more) in most cases. Ages ranged from 3 months to 89 years, although most patients were over 60 years of age. CONCLUSIONS: These results suggest that C perfringens may be a cause of sporadic cases of diarrhoea when causes such as food consumption or cross-infection are absent, particularly in the elderly.