Case Report

Severe Sepsis due to Clostridium perfringens Bacteremia of Urinary Origin: A Case Report and Systematic Review

Table 1

Systematic review of urinary tract infections due to Clostridium perfringens.

CaseAge/sexDiabetesRenal insufficiencyMalignancyConditionBacteremiaInitial antibioticsFinal antibioticsOutcome

Nielsen and Laursen, 1972 [10]75/FYesNoNoCystitisNoTMP/SMXTMP/SMXSurvived and infection resolved
Shah et al., 1973 [11]84/FNoNot reportedNoEmphysematous cystitisNoNitrofurantoinPenicillin GSurvived and infection resolved
Wayland and Kiviat, 1974 [12]80/MYesNoNoEmphysematous cystitisYesNot reportedNot reportedDeceased
Wayland and Kiviat, 1974 [12]62/FYesNot reportedNoEmphysematous cystitisYesPenicillinCephalosporinSurvived and infection resolved
Maliwan, 1979 [13]38/FNoNot reportedNoEmphysematous cystitisYesPenicillin GPenicillin GSurvived and infection resolved
West et al., 1981 [14]72/FYesNot reportedNoEmphysematous cystitisNoPenicillin GPenicillin GSurvived and infection resolved
Galloway, 1984 [15]58/FNoYesYesEmphysematous cystitisYesPenicillinPenicillinDeceased
Bergman and Warren, 1988 [16]76/MNoYesNoCystitisNoPenicillin, metronidazole, amikacinPenicillinSurvived and infection resolved
Greene, 1992 [17]70/MNoNot reportedYesEmphysematous cystitisYesMetronidazole, cefotaximePenicillin, cefotaximeSurvived and infection resolved
Katz et al., 1993 [18]75/FYesYesNoEmphysematous cystitisYesAmpicillinPenicillin GSurvived and infection resolved
Lazarescu et al., 2012 [19]34/FNoNot reportedNoGangrenous cystitisYesNot reportedNot reportedDeceased