Clostridium tertium bacteremia and hepatic abscess in a non-neutropenic patient

A 43-year-old previously healthy man presented with altered mental status, diaphoresis, and fevers following a ruptured appendicitis and appendectomy. The patient had growth of Clostridium tertium and Escherichia coli in blood cultures and imaging of the abdomen revealed a large hepatic abscess. Clo...

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Detalles Bibliográficos
Autores principales: Milano, Victoria, Biehle, Lauren, Patel, Shalvi, Hammer, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441761/
https://www.ncbi.nlm.nih.gov/pubmed/30976516
http://dx.doi.org/10.1016/j.idcr.2019.e00510
Descripción
Sumario:A 43-year-old previously healthy man presented with altered mental status, diaphoresis, and fevers following a ruptured appendicitis and appendectomy. The patient had growth of Clostridium tertium and Escherichia coli in blood cultures and imaging of the abdomen revealed a large hepatic abscess. Clostridium tertium is an uncommon cause of bacteremia in non-neutropenic patients. There is currently no universally accepted treatment for Clostridium tertium bacteremia. We report successful treatment with ertapenem.

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