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J Clin Pathol 53:709-712 doi:10.1136/jcp.53.9.709

The clinical spectrum of Clostridium sordellii bacteraemia: two case reports and a review of the literature

Table 1

Reported cases of Clostridium sordellii bacteraemia in the literature

Ref Age/Sex Underlying condition Presenting illness Presumed portal of entry Outcome
Four other cases of C sordellii bacteraemia have been reported but the description is incomplete and outcome not reported.13
†Two further cases of endocarditis have been reported in one series but no details were provided.20
§No further details given.
GI, gastrointestinal tract; IV, intravenous.
14 18/M Acute alcoholic intoxication Cardiorespiratory arrest, myonecrosis, necrotic-haemorrhagic pancreatitis GI/colon Fatal
10 61/M Rheumatic valvular disease Pneumonitis, empyema Oropharynx Survived
Congestive heart failure Infective endocarditis†
12 54/M Metastatic melanoma to colon Septic shock GI/colon Fatal
12 40/F Genitourinary malignancy Postoperative wound infection§ Unknown Survived
15 37/M IV drug abuse, sickle cell thalassaemia, inflammatory bowel disease, functional asplenia Pneumonitis, back pain, bleeding from rectum ?GI/colon Survived
?Auto-inoculation
16 48/F Liver transplantation, immunosuppressive treatment Septic shock ?Transcutaneous liver biopsy Fatal
17 55/M Transitional cell carcinoma of the bladder, radiation colitis Intra-abdominal sepsis, perforated viscus GI/colon Fatal
13 29/F Caesarian section Septic shock, retroperitoneal sepsis GI/colon Fatal
18 37/M Chronic alcoholism/liver cirrhosis Haemetemesis peritonitis, intravascular haemolysis ?GI Fatal
19 73/M Metastatic prostate cancer Perirectal and ischiorectal abscess GI/rectum Fatal
Case 1 81/F Traumatic self evacuation Widespread cellulitis, perirectal necrosis GI/rectum Fatal
Case 2 12/M Epilepsy Ear infection Ear Survived

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