Can J Infect Dis Med Microbiol. Mar-Apr;26(2) Empyema caused by Clostridium bifermentans: A case report. Edagiz S(1), Lagace-Wiens P(2), Embil . Clostridium bifermentans bacteremia resulting in metastatic osteomyelitis involving the sacrum, spine, and ribs. The emergence of resistance of this organism to. We report a case of recurrent Clostridium bifermentans bacteremia resulting in metastatic osteomyelitis involving the sacrum, spine, and ribs. The emergence of .

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Arch Intern Med ; Unfortunately, the lack of an cllostridium chest CT scan on presentation prevents determination of whether the pulmonary embolus was present at the start of the illness or whether it occurred in hospital once the infection was already established. Bacteriol Rev ; Author information Article notes Copyright and License information Disclaimer. Taxonomic studies of the genus Clostridium: Please review our privacy policy.

A chest tube was placed, and empirical antimicrobial therapy with a combination bifementans levofloxacin and metronidazole was initiated. Prosthetic valve endocarditis due to Clostridium bifermentans: Please review our privacy policy.

Closridium patient had an endometrial ablation 5 months before her presentation, which was felt to be too distant in time to be a definitive risk factor. Views Read Edit View history.

Delayed brain abscess related to a retained foreign body with culture of Clostridium bifermentans. Bone marrow biopsy was negative for malignancy. More than species and subspecies have been recognized to date. The patient succumbed to complications of the illness Open in a separate window.


Abstract A case of pneumonia with associated empyema caused by Clostridium bifermentans is described. Am J Pathol ; In both of the previously published cases of Clostridijm bifermentans empyema as well as the current case, it is unclear whether infection occurred secondary to hematogenous spread, inhalation or aspiration of the organism, although inhalation was favoured in the report by Jonsson et al Anaerobic infections of war wounds in the Middle East.

Empyema caused by Clostridium bifermentans: A case report.

Cultures of the pleural fluid grew C bifermentans and Bacillus cereus. Retrieved from ” https: Evaluation of cases. Published online May A fatal case of fulminant endometritis with toxic shock clostridiium capillary leak secondary to C bifermentans infection in a young woman is described, and this is compared to all clostricium previously described cases of C bifermentans infection. This organism is infrequently reported as a cause of infection in humans, and older publications tended to regard it as nonpathogenic.

Empyema caused by Clostridium bifermentans: A case report.

Computed tomography CT scan of the abdomen closteidium pelvis showed ascites, and a pelvic ultrasound was unremarkable. In Octobera year-old woman with history of abnormal uterine bleeding status post an uncomplicated endometrial ablation 5 months prior developed new onset dysuria and grayish, malodorous vaginal discharge. By using this site, you agree to the Terms of Use and Privacy Policy.


Thus, to remove potential toxin, empiric plasmapheresis was started on hospital day 3, which showed immediate improvement in hemodynamics, and fluid was able to be removed with continuous venovenous closstridium. The uterus was hyperemic but not grossly infected or boggy.

Infect Immun ; Clinical and Laboratory Standards Institute.

Patel SB, Mahler R. Clostridium sordellii is known to cause a severe leukocytosis in part related to production of the neuraminidase NanS, which stimulates promyelocytic proliferation and prevents margination and movement of leukocytes out of the intravascular space [ 17 ]. This article has been cited by other articles in PMC.

A septic embolus would also be possible as a mechanism of infection, although blood cultures were negative. Moreover, within the Clostridium phylogeny, C bifermentans and C sordellii are closely related and were not identified as separate species until [ 21 ]. Clostridium bifermentans is a rare cause of infection in humans. Support Center Support Center. Empiric antibiotic therapy with vancomycin, cefepime, and metronidazole was initiated, and she was transferred bifermdntans the intensive care unit.

Necrotising pneumonia and empyema caused by Clostridium bifermentans. Support Center Support Center. J Bone Joint Surg.