| 000 | 02531nam a22004217a 4500 | ||
|---|---|---|---|
| 008 | 240723s20242024 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a2000-9666 | ||
| 024 | _ajchim-14-01-030 [pii] | ||
| 024 | _aPMC10932497 [pmc] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a38482098 | ||
| 245 | _aPulmonary Clostridium perfringens: Seeding Beyond the Gastrointestinal Tract. | ||
| 251 | _aJournal of Community Hospital Internal Medicine Perspectives. 14(1):30-34, 2024. | ||
| 252 | _aJ Community Hosp Intern Med Perspect. 14(1):30-34, 2024. | ||
| 253 | _aJournal of community hospital internal medicine perspectives | ||
| 260 | _c2024 | ||
| 260 | _p2024 | ||
| 260 | _fFY2024 | ||
| 265 | _sepublish | ||
| 265 | _tPubMed-not-MEDLINE | ||
| 520 | _aClostridia perfringens infection outside the gastrointestinal system is rare. Here, we report on a 75-year-old man with history of end-stage renal disease presenting after a syncopal event with lactic acidosis, leukocytosis, and mild hyper-bilirubinemia. Chest imaging revealed a loculated, left-sided pleural effusion; diagnostic thoracentesis identified Clostridia perfringens, consistent with an empyema. Video-assisted thoracic left lung decortication was performed; tissue culture also speciated Clostridia perfringens. Further imaging revealed concomitant acute cholecystitis, suggesting hematogenous seeding or transdiaphragmatic extension of Clostridia perfringens to pleural space from an abdominal source. The patient was successfully managed with laparoscopic cholecystectomy and discharged on a one-month course of amoxicillin-sulbactam. This case highlights the potential for Clostridia perfringens to produce a pleuropulmonary infection, necessitating timely diagnosis and intervention, to improve patient outcomes. Copyright © 2024 Greater Baltimore Medical Center. | ||
| 546 | _aEnglish | ||
| 650 | _zAutomated | ||
| 651 | _aMedStar Franklin Square Medical Center | ||
| 651 | _aMedStar Union Memorial Hospital | ||
| 656 | _aHospitalist | ||
| 656 | _aInfectious Diseases | ||
| 656 | _aInternal Medicine Residency | ||
| 656 | _aMedicine | ||
| 657 | _aCase Reports | ||
| 700 |
_aDelungahawatta, Thilini _bMUMH _cInternal Medicine Residency _dMBBS |
||
| 700 |
_aHaas, Christopher _bMFSMC |
||
| 700 |
_aRao, Shiavax J _bMUMH |
||
| 700 |
_aWolff, Marcos _bMFSMC |
||
| 790 | _aDelungahawatta T, Rao SJ, Wolff M, Haas CJ | ||
| 856 |
_uhttps://dx.doi.org/10.55729/2000-9666.1274 _zhttps://dx.doi.org/10.55729/2000-9666.1274 |
||
| 942 |
_cART _dArticle |
||
| 999 |
_c14274 _d14274 |
||