Saito Ashley, Wu Simon, Kwoh Eric
Department of Medicine VA West Los Angeles Medical Center.
J Brown Hosp Med. 2024 Apr 1;3(2):115586. doi: 10.56305/001c.115586. eCollection 2024.
Clostridial bacteremia is an exceedingly rare clinical entity that can cause significant morbidity and mortality. Immunocompromised patients with insult to the gastrointestinal mucosa are especially prone to the development of clostridial sepsis based on limited existing literature. Here we report a case of a 65-year-old male nursing home resident with incompletely treated colorectal adenocarcinoma who was admitted for sepsis. He was found to have polymicrobial bacteremia with and . He was successfully treated with intravenous piperacillin/tazobactam followed by an oral regimen of amoxicillin/clavulanic acid.
梭菌血症是一种极其罕见的临床病症,可导致严重的发病和死亡。根据现有有限文献,免疫功能低下且胃肠道黏膜受损的患者尤其容易发生梭菌败血症。在此,我们报告一例65岁男性养老院居民,患有未得到充分治疗的结肠直肠癌,因败血症入院。发现他患有由[具体细菌1]和[具体细菌2]引起的多种微生物菌血症。他通过静脉注射哌拉西林/他唑巴坦成功治疗,随后接受阿莫西林/克拉维酸口服治疗方案。