Cases reported "Clostridium Infections"

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1/5. sphenoid sinusitis caused by clostridium perfringens.

    Anaerobic bacterial infections in chronic sinusitis are well described in literature. We present what is believed to be the first reported case of clostridium perfringens presenting as the causative pathogen in paranasal sinusitis. This patient presented with severe headaches and, with CT and MRI findings of unilateral sphenoid sinus opacification, with bone demineralization and intrasinus calcification. This patient responded to endoscopic debridement and long-term antibiotics without sequelae.
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ranking = 1
keywords = bacterial infection
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2/5. Update: allograft-associated bacterial infections--united states, 2002.

    Tissue allografts are commonly used in orthopedic surgical procedures; in 1999, approximately 650,000 musculoskeletal allografts were distributed by tissue processors (1). A rare complication of musculoskeletal allografts is bacterial infection (2,3). After the reported death of a recipient of an allograft contaminated with Clostridium spp. (an anaerobic spore and toxin-forming organism) (3), CDC investigated this case and solicited additional reports of allograft-associated infections; 26 cases have been identified. This report summarizes the investigation of these cases and describes additional steps given to a tissue processor to enhance tissue transplant safety.
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ranking = 5
keywords = bacterial infection
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3/5. Unusual bacterial infections and colorectal carcinoma--streptococcus bovis and clostridium septicum: report of three cases.

    Several types of unusual bacterial infections have been reported in association with colorectal malignancy. In the three cases described, uncommon infections resulted in further workup and subsequent resection for occult colonic malignancy. awareness of this association is critical for early diagnosis and management.
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ranking = 5
keywords = bacterial infection
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4/5. Polymicrobial septicemia associated with rhabdomyolysis, myoglobinuria, and acute renal failure.

    myoglobinuria and renal failure resulting from bacterial infection have only rarely been reported. To our knowledge, we describe the first reported case of polymicrobial septicemia resulting in rhabdomyolysis and myoglobinuric renal failure. Renal failure secondary to myoglobinuria has an excellent prognosis; in our patient, recovery was complete. The frequency of rhabdomyolysis, myoglobinuria, and renal failure in septicemia is unknown and can only be determined by an increased awareness of this potential complication of septicemia.
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ranking = 1
keywords = bacterial infection
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5/5. The spectrum of myositis and rhabdomyolysis associated with bacterial infection.

    OBJECTIVE. (1) To describe the clinical and radiographic features of 6 patients with myositis or rhabdomyolysis associated with bacterial infection. (2) To analyze the role of computed tomography (CT) in myositis associated with bacterial infection. methods. review of cases treated by the authors with literature review. RESULTS. Two patients had classical pyomyositis with staphylococcus aureus as the etiologic agent. One patient had pyomyositis with enterobacter cloacae (the first reported to our knowledge), 2 had myositis/fasciitis (one due to clostridium perfringens and one due to S. aureus), and one had fatal toxic rhabdomyolysis in association with C. perfringens bacteremia without evidence of gas gangrene. No patient had a completely normal CT scan of affected muscles, but CT scans in 3 patients failed to show abscesses that were subsequently discovered at surgery, while in another patient CT scanning falsely suggested a large abscess that was not present at surgery. CONCLUSION. Infection associated muscle involvement represents a spectrum of clinical manifestations that include pyomyositis, myonecrosis, fasciitis/myositis, and toxic rhabdomyolysis. Diagnosis may be delayed by the often mild clinical presentation. CT scanning alone may be unreliable in distinguishing muscle abscess from swollen muscle unless combined with CT guided needle biopsy.
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ranking = 6
keywords = bacterial infection
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