Intended for healthcare professionals

Rapid response to:

Clinical Review

The management of interstitial cystitis or painful bladder syndrome in women

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b2707 (Published 31 July 2009) Cite this as: BMJ 2009;339:b2707

Rapid Response:

I stand corrected.

What Rosalind M Maskell actually wrote was, "Now that clinicians and
microbiologists have had to confront the problem of the emerging
pathogenicity of commensal organisms such as Clostridium difficile in
patients who have been treated with broad- spectrum antibiotics, perhaps
they do not seem so far-fetched".

C difficile is so called because it is difficult to culture
supposedly favouring a microaerophilic environmnet and an elevated pCO2.
Rosalind M Maskell would kmow much more about these than I do. Could she
elaborate on the relevance of these variables to bacterial growth in
culture?

Competing interests:
None declared

Competing interests: No competing interests

13 August 2009
Richard G Fiddian-Green
FRCS, FACS
None