Affiliation:
1. Internal Medicine Residency of Spokane, University of Washington Medical School, Spokane, WA 99204, USA
Abstract
Context.Clostridium perfringenssepticemia is often associated with translocation from the gastrointestinal or gastrourinary tract and occurs in patients who have malignancy or are immunocompromised.Clostridium perfringenssepticemia is usually fatal without early identification, source control, and antibiotics.Case. We present a case of a 65-year-old female withClostridium perfringenssepticemia secondary to emphysematous cholecystitis, with progression to hepatic abscesses.Conclusion. Septicemia secondary toClostridium perfringensis generally fatal if not detected early. Source control with surgery or percutaneous drainage and early antibiotic therapy is imperative. Hyperbaric oxygen therapy may reduce mortality. Clinicians caring for patients with sepsis and intravascular hemolysis must haveClostridium perfringenssepticemia on their differential diagnosis with a low threshold for starting antibiotics and pursuing source of infection.
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9 articles.
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