Fatal Clostridium perfringens sepsis due and literature review

被引：18

作者：

Sarvari, Karoly Peter ^{[1
]}

Vasas, Bela ^{[2
]}

Kiss, Ildiko ^{[3
]}

Lazar, Andrea ^{[1
]}

Horvath, Istvan ^{[3
]}

Simon, Marianna ^{[4
]}

Peto, Zoltan ^{[4
]}

Urban, Edit ^{[1
]}

机构：

[1] Univ Szeged, Dept Clin Microbiol, Szeged, Hungary

[2] Univ Szeged, Dept Pathol, Szeged, Hungary

[3] DIAGNOSCAN Ltd Hungary, Szeged, Hungary

[4] Univ Szeged, Dept Emergency Med, Szeged, Hungary

来源：

ANAEROBE | 2016年 / 40卷

关键词：

Emphysematous gastritis; Clostridium perfringens; Sepsis; CT-scan; EMPHYSEMATOUS-GASTRITIS;

D O I：

10.1016/j.anaerobe.2016.03.011

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

A 76-year-old female patient was admitted to the Level I Emergency Department of University of Szeged with severe abdominal pain and vomiting. The clinical assessment with laboratory tests and radiological investigations confirmed severe sepsis associated with intravascular hemolysis and multiorgan failure and acute pancreatitis. On the abdominal CT, besides of other abnormalities, the presence of gas bubbles in the stomach, small intestines and liver were seen. The gastric alterations pointed to emphysematous gastritis. Despite of the medical treatment, the patient's condition quickly deteriorated and eight hours after admission the patient died. The autopsy evaluation revealed systemic infection of abdominal origin caused by gas-producing Gram-positive bacteria, and the post-mortem microbiological cultures confirmed the presence of Cloctridium perfringens in many abdominal organs. Emphysematous gastritis seemed to be the primary infectious focus. (C) 2016 Elsevier Ltd. All rights reserved.

引用

页码：31 / 34

页数：4

共 14 条

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Yalamanchili, M
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