In nine children with diarrhea of unknown etiology in Group C, eight had Streptococcus as the most dominant fecal bacterial genus at admission, one with S. lutetiensis, two with S. gallolyticus subsp. pasteurianus, two with Streptococcus salivarius, and

three with Streptococcus sp. (Figures 1 and 2, Table 1). We divided these nine children in Group C into two, according to the most dominant fecal bacterial species at admission. Group C1 included one child whose most dominant species was E. coli. The percentage of E. coli in the fecal microflora of Patient 036 (age 7 months) was increased from 87.10% at admission to 90.91% during treatment, and then dropped to 28.90% after recovery (Figure 2B), based on 445 analyzed 16 s rRNA gene sequences. CHIR-99021 in vivo selleck Figure 2 Percentage changes in fecal bacteria in children with diarrhea at admission and

during and after recovery. Only patients who had unknown etiology and provided three fecal samples were included. The bacterial species with fewer than five determined sequences, or <1% in a given sample, or unrecognized species are not shown. (A) The true percentage value of individual bacterial species in fecal samples of patients with diarrhea sampled at admission and during and after recovery. Each block was divided into three columns by white vertical lines, representing the fecal samples at admission and during and after recovery, respectively. The color value from red to yellow displayed the percentage (50% to 0%) of a given bacterial species in each sample. (B) The percentage changes https://www.selleckchem.com/products/torin-2.html Digestive enzyme in individual bacterial species in fecal samples from patients with diarrhea during and after recovery compared with that at admission. Each block was divided into two columns by white vertical lines, representing the relative percentage changes of given bacterial species during and after recovery, compared with that in feces at admission. The color value from red to yellow to green displayed the percentage (50% to 0% to −50%) of

a given bacterial species in each sample. The negative percentage shows that the percentage of a given bacterial species was reduced compared with that detected at admission. Table 1 Features of study samples from children with diarrhea of unknown etiology Patient information Clinical presentation Stool routine analysis Patient and feces number Sampling date (after onset) Times of stool/day Characteristics of stool Temperature (°C) WBC* RBC* Occult blood 011-1 1 5 Watery Normal + ++ + 011-3 3 5 Loose         011-4 5 2 Formed         016-1 1 3-4 Bloody and mucoid 39.0°C ++ + +/− 016-3 3 3 Watery         016-6 ** 12 2 Formed         017-1 16 10 Watery Normal + ++ +/− 017-3 18 6 Watery         017-5 20 6 Watery         019-1 133 8-9 Bloody and mucoid Normal ++ ++ + 019-6 138 3 Loose         019-7** 143 3 Loose         021-1 33 6 Watery Normal + + – 021-4 35 5 Watery         021-7 38 4-5 Loose         023-1 20 6 Loose 38.