Patel S B, Mahler R
Department of Molecular Medicine, Northwick Park Hospital, Middlesex, U.K.
J Infect. 1990 Jul;21(1):81-5. doi: 10.1016/0163-4453(90)90738-t.
Clostridia rarely cause pleuropulmonary infections in the absence of trauma. We report a case of intermittent bowel obstruction, clostridial bacteraemia and pneumonia with a fatal outcome. Only 16 cases have previously been reported. Clostridial infection of the lung has many features of an acute pneumonia and is almost always associated with a pleural effusion. Most cases are caused by Clostridium perfringens, though infections with other species have been reported. The prognosis is generally more favourable than in clostridial infection secondary to aspiration pneumonia or complicating empyema.
在没有创伤的情况下，梭菌很少引起胸膜肺部感染。我们报告一例间歇性肠梗阻、梭菌菌血症和肺炎病例，最终导致死亡。此前仅报告过16例。肺部梭菌感染具有许多急性肺炎的特征，几乎总是伴有胸腔积液。大多数病例由产气荚膜梭菌引起，不过也有其他菌种感染的报道。总体预后通常比吸入性肺炎继发的梭菌感染或并发脓胸的情况更有利。
