Empyema caused by Clostridium bifermentans: A case report.

Empyema caused by Clostridium bifermentans: A case report.
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DOI:
10.1155/2015/481076
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发表时间:
2015-03
期刊:
The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale
影响因子:
--
通讯作者:
Walkty A
Walkty A
中科院分区:
其他
文献类型:
--
作者:
Edagiz S;Lagace-Wiens P;Embil J;Karlowsky J;Walkty A

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以前被认为是非致病性的,在过去的三十年中,双歧梭菌与各种各样的感染有关,从感染性关节炎到心内膜炎。这篇文章的作者描述了一个涉及60岁男子的病例,他被发现有由C菌引起的脓胸。作者回顾了类似的病例,并讨论了这种感染的治疗过程。一个病例的肺炎与相关的脓胸引起的双歧梭菌描述。双歧杆菌是一种厌氧,芽孢形成,革兰氏阳性杆菌。这种微生物很少被报道为人类感染的原因,较早的出版物倾向于认为它是非致病性的。然而,在最近的报道中,双胞杆菌已被证明是脓毒性关节炎、骨髓炎、软组织感染、腹部感染、脑脓肿、菌血症和心内膜炎的病因。本病例是第三例报告的由双歧杆菌引起的脓胸病例,它有助于进一步确定由这种罕见的生物体引起的疾病范围。
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. A case of pneumonia with associated empyema caused by Clostridium bifermentans is described. C bifermentans 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, C bifermentans 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 C bifermentans, and it serves to further define the spectrum of illness due to this uncommon organism.
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