Clostridium septicum: Difference between revisions

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Clostridium septicum
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== Background ==
* Associated with colon cancer
=== Microbiology ===
* [[Has Gram stain::Gram-positive]] [[Has shape::bacillus]]
* Member of the genus ''[[Clostridium species|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 [[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

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