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Case Reports
. 2015 Mar-Apr;26(2):105-7.
doi: 10.1155/2015/481076.

Empyema caused by Clostridium bifermentans: A case report

Affiliations
Case Reports

Empyema caused by Clostridium bifermentans: A case report

Safa Edagiz et al. Can J Infect Dis Med Microbiol. 2015 Mar-Apr.

Abstract

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.

Les auteurs décrivent un cas de pneumonie associé à de l’empyème attribuable à un Clostridium bifermentans. Le C bifermentans 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 C bifermentans 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 C bifermentans, contribue à mieux définir le spectre de maladie causé par cet organisme peu courant.

Keywords: Clostridium bifermentans; Empyema; Pneumonia.

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Figures

Figure 1)
Figure 1)
Chest radiograph demonstrating a right-sided pneumothorax (white arrow) and right lower lobe consolidation (black arrow)

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