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Clostridium septicum septicemia with identical metastatic myonecroses in a granulocytopenic patient. Infectious disease emergency
Authors:S K Tikko  A Distenfield  M Davidson
Affiliation:1. Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Thailand;2. Division of Infectious Diseases and Tropical Medicine, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Thailand;3. National Institute of Health, Department of Medical Sciences, Ministry of Public Health, Thailand;1. Mevlana University, Faculty of Medicine, Department of Medical Microbiology, Konya, Turkey;2. Konya Numune Hospital, Microbiology Laboratory, Konya, Turkey;3. Katip Çelebi University, Faculty of Medicine, Department of Medical Microbiology, İzmir, Turkey;1. College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA;2. Pathobiology and Diagnostic Investigation, Diagnostic Center for Population and Animal Health, Michigan State University, Lansing, MI 48910, USA;1. Department of Veterinary Medicine, University of Bari “Aldo Moro”, Str. Prov. per Casamassima Km 3, 70010, Valenzano, BA, Italy;2. Department of Infectious Diseases, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy;3. Istituto Zooprofilattico Sperimentale di Puglia e Basilicata, Sezione di Putignano, Contrada San Pietro Piturno, 70017, Putignano, BA, Italy
Abstract:Clostridium septicum is a gram-positive, sporulating spindle-shaped rod. Gas gangrene secondary to trauma is not uncommon. However, nontraumatic clostridial infection causing myonecrosis is quite unusual. This is a unique case report of Clostridium septicum bacteremia with two simultaneously evolving metastatic foci of myonecrosis of the left arm and right thigh that developed in a patient with lymphoma when he became granulocytopenic during his hospital course.
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