Clostridium tertium bacteremia and hepatic abscess in a non-neutropenic patient. (2019)

• Record Type: Journal Article
• Authors: Milano, Victoria; Biehle, Lauren; Patel, Shalvi; Hammer, John
• Is Part Of: IDCases. Volume 15(2018)
• Publication Date: 2019
• Subjects: Clostridium tertium -- Bacteremia -- Hepatic abscess; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2019.e00510
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: A 43-year-old previously healthy man presented with altered mental status, diaphoresis, and fevers following a ruptured appendicitis and appendectomy. The patient had growth of Clostridium tertium and Escherichia coli in blood cultures and imaging of the abdomen revealed a large hepatic abscess. Clostridium tertium is an uncommon cause of bacteremia in non-neutropenic patients. There is currently no universally accepted treatment for Clostridium tertium bacteremia. We report successful treatment with ertapenem.