Clostridium septicum: Difference between revisions
From IDWiki
Clostridium septicum
No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
== Background == |
|||
⚫ | |||
=== Microbiology === |
|||
* [[Has Gram stain::Gram-positive]] [[Has shape::bacillus]] |
|||
* Member of the genus ''[[Clostridium species|Clostridium]]'' |
|||
* Produces alpha toxin |
|||
=== Risk factors === |
|||
⚫ | |||
* Diabetes also a risk factor |
|||
== Clinical Presentation == |
|||
* Can cause bacteremia and non-traumatic myonecrosis |
|||
* Clinical presentation is typically fulminant sepsis, which very high mortality |
|||
== Management == |
|||
* Aggressive surgical debridement, possibly including amputation |
|||
* Broad-spectrum antibiotics for [[necrotizing fasciitis]] are indicated until the microbiologic diagnosis is confirmed |
|||
* First-line antimicrobials are [[Is treated by::penicillin]] plus [[Is treated by::clindamycin]] |
|||
{{DISPLAYTITLE:''Clostridium septicum''}} |
{{DISPLAYTITLE:''Clostridium septicum''}} |
Revision as of 21:18, 13 April 2020
Background
Microbiology
- Gram-positive bacillus
- Member of the genus Clostridium
- Produces alpha toxin
Risk factors
- Associated with colon cancer or neutropenia
- Diabetes also a risk factor
Clinical Presentation
- Can cause bacteremia and non-traumatic myonecrosis
- Clinical presentation is typically fulminant sepsis, which very high mortality
Management
- Aggressive surgical debridement, possibly including amputation
- Broad-spectrum antibiotics for necrotizing fasciitis are indicated until the microbiologic diagnosis is confirmed
- First-line antimicrobials are penicillin plus clindamycin