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 Release 21.0, Jan 2008
 
Chapter : ch23. Microbiology & Infectious Diseases Section : Evaluation of Bacteremias and Sepsis
  Risk Factors for Clostridium sordellii Bacteremia

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Overview :

Clostridium sordellii bacteremia may occur in a wide range of situations and the cause may not be immediately obvious, especially when the patient has previously been perfectly healthy.

 

Risk factors - obstetrics/gyncology

(1) hysterectomy

(2) following childbirth

(3) following spontaneous abortion

(4) following medically-induced abortion

 

Risk factors - trauma or surgery:

(1) any type of surgery, including organ transplantation

(2) any type of penetrating wound

(3) after blunt trauma or crush injury

 

Risk factors - other:

(1) alcohol abuse with cirrhosis

(2) cancer

(3) immunosuppression

(4) injection drug abuse

(5) intramuscular drug injection

 

Early signs of infection may be subtle. Diagnosis requires a high index of suspicion when an afebrile patient presents with systemic symptoms.

 

  References:

Aldape MJ, Bryant AE, Stevens DL. Clostridium sordellii infection: Epidemiology, clinical findings, and current perspectives on diagnosis and treatment. Clin Infect Dis. 2006; 43: 1436-1446.

 

 

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