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Empyema caused by Clostridium bifermentans: A case report

Identifieur interne : 005B89 ( Ncbi/Merge ); précédent : 005B88; suivant : 005B90

Empyema caused by Clostridium bifermentans: A case report

Auteurs : Safa Edagiz [Canada] ; Phil Lagace-Wiens [Canada] ; John Embil [Canada] ; James Karlowsky [Canada] ; Andrew Walkty [Canada]

Source :

RBID : PMC:4419813

Abstract

Previously considered to be nonpathogenic, Clostridium bifermentans has been implicated in a wide variety of infections over the past three decades, ranging from septic arthritis to endocarditis. The authors of this article describe a case involving a 60-year-old man who was found to have an empyema caused by C bifermentans. The authors review similar cases and discuss the course of treatment for this infection.


Url:
PubMed: 26015796
PubMed Central: 4419813

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PMC:4419813

Le document en format XML

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<italic>Clostridium bifermentans</italic>
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<name>
<surname>Edagiz</surname>
<given-names>Safa</given-names>
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<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-idmm-26-105">
<sup>1</sup>
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<surname>Lagace-Wiens</surname>
<given-names>Phil</given-names>
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<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-idmm-26-105">
<sup>1</sup>
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<xref ref-type="aff" rid="af2-idmm-26-105">
<sup>2</sup>
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<degrees>MD</degrees>
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<sup>3</sup>
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<xref ref-type="aff" rid="af2-idmm-26-105">
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</xref>
<xref ref-type="aff" rid="af3-idmm-26-105">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-idmm-26-105">
<label>1</label>
Department of Medical Microbiology, University of Manitoba;</aff>
<aff id="af2-idmm-26-105">
<label>2</label>
Diagnostic Services Manitoba;</aff>
<aff id="af3-idmm-26-105">
<label>3</label>
Department of Internal Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, Manitoba</aff>
<author-notes>
<corresp id="c1-idmm-26-105">Correspondence: Dr Andrew Walkty, MS673B Microbiology, Health Sciences Centre, 820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9. Telephone 204-787-1161, fax 204-787-4699, e-mail
<email>awalkty@dsmanitoba.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Mar-Apr</season>
<year>2015</year>
</pub-date>
<volume>26</volume>
<issue>2</issue>
<fpage>105</fpage>
<lpage>107</lpage>
<permissions>
<copyright-statement>Copyright© 2015 Pulsus Group Inc. All rights reserved</copyright-statement>
<copyright-year>2015</copyright-year>
<license>
<license-p>This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>
), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact
<email>support@pulsus.com</email>
</license-p>
</license>
</permissions>
<abstract abstract-type="toc">
<p>Previously considered to be nonpathogenic,
<italic>Clostridium bifermentans</italic>
has been implicated in a wide variety of infections over the past three decades, ranging from septic arthritis to endocarditis. The authors of this article describe a case involving a 60-year-old man who was found to have an empyema caused by
<italic>C bifermentans</italic>
. The authors review similar cases and discuss the course of treatment for this infection.</p>
</abstract>
<abstract>
<p>A case of pneumonia with associated empyema caused by
<italic>Clostridium bifermentans</italic>
is described.
<italic>C bifermentans</italic>
is an anaerobic, spore-forming, Gram-positive bacillus. This organism is infrequently reported as a cause of infection in humans, and older publications tended to regard it as nonpathogenic. However, in more recent reports,
<italic>C bifermentans</italic>
has been documented as a cause of septic arthritis, osteomyelitis, soft tissue infection, abdominal infections, brain abscess, bacteremia and endocarditis. The present case is the third reported case of empyema caused by
<italic>C bifermentans,</italic>
and it serves to further define the spectrum of illness due to this uncommon organism.</p>
</abstract>
<trans-abstract xml:lang="fr">
<p>Les auteurs décrivent un cas de pneumonie associé à de l’empyème attribuable à un
<italic>Clostridium bifermentans</italic>
. Le
<italic>C bifermentans</italic>
est un bacille anaérobique sporulé Gram positif. Il est rarement signalé comme cause d’infection chez les humains, et les publications plus anciennes ont tendance à le considérer comme non pathogène. Cependant, dans des rapports plus récents, le
<italic>C bifermentans</italic>
est attesté comme cause d’arthrite septique, d’ostéomyélite, d’infection des tissus mous, d’infection abdominale, d’abcès du cerveau, de bactériémie et d’endocardite. Le présent cas, qui est le troisième cas déclaré d’empyème attribuable au
<italic>C bifermentans</italic>
, contribue à mieux définir le spectre de maladie causé par cet organisme peu courant.</p>
</trans-abstract>
<kwd-group>
<kwd>
<italic> Clostridium bifermentans</italic>
</kwd>
<kwd>Empyema</kwd>
<kwd>Pneumonia</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="f1-idmm-26-105" position="float">
<label>Figure 1)</label>
<caption>
<p>Chest radiograph demonstrating a right-sided pneumothorax (white arrow) and right lower lobe consolidation (black arrow)</p>
</caption>
<graphic xlink:href="idmm-26-105-1"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Canada</li>
</country>
<region>
<li>Manitoba</li>
</region>
<settlement>
<li>Winnipeg</li>
</settlement>
<orgName>
<li>Université du Manitoba</li>
</orgName>
</list>
<tree>
<country name="Canada">
<region name="Manitoba">
<name sortKey="Edagiz, Safa" sort="Edagiz, Safa" uniqKey="Edagiz S" first="Safa" last="Edagiz">Safa Edagiz</name>
</region>
<name sortKey="Embil, John" sort="Embil, John" uniqKey="Embil J" first="John" last="Embil">John Embil</name>
<name sortKey="Karlowsky, James" sort="Karlowsky, James" uniqKey="Karlowsky J" first="James" last="Karlowsky">James Karlowsky</name>
<name sortKey="Lagace Wiens, Phil" sort="Lagace Wiens, Phil" uniqKey="Lagace Wiens P" first="Phil" last="Lagace-Wiens">Phil Lagace-Wiens</name>
<name sortKey="Walkty, Andrew" sort="Walkty, Andrew" uniqKey="Walkty A" first="Andrew" last="Walkty">Andrew Walkty</name>
<name sortKey="Walkty, Andrew" sort="Walkty, Andrew" uniqKey="Walkty A" first="Andrew" last="Walkty">Andrew Walkty</name>
</country>
</tree>
</affiliations>
</record>

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