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.
| Case | Age/sex | Diabetes | Renal insufficiency | Malignancy | Condition | Bacteremia | Initial antibiotics | Final antibiotics | Outcome |
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Nielsen and Laursen, 1972 [10] | 75/F | Yes | No | No | Cystitis | No | TMP/SMX | TMP/SMX | Survived and infection resolved | Shah et al., 1973 [11] | 84/F | No | Not reported | No | Emphysematous cystitis | No | Nitrofurantoin | Penicillin G | Survived and infection resolved |
Wayland and Kiviat, 1974 [12] | 80/M | Yes | No | No | Emphysematous cystitis | Yes | Not reported | Not reported | Deceased | Wayland and Kiviat, 1974 [12] | 62/F | Yes | Not reported | No | Emphysematous cystitis | Yes | Penicillin | Cephalosporin | Survived and infection resolved |
Maliwan, 1979 [13] | 38/F | No | Not reported | No | Emphysematous cystitis | Yes | Penicillin G | Penicillin G | Survived and infection resolved | West et al., 1981 [14] | 72/F | Yes | Not reported | No | Emphysematous cystitis | No | Penicillin G | Penicillin G | Survived and infection resolved | Galloway, 1984 [15] | 58/F | No | Yes | Yes | Emphysematous cystitis | Yes | Penicillin | Penicillin | Deceased |
Bergman and Warren, 1988 [16] | 76/M | No | Yes | No | Cystitis | No | Penicillin, metronidazole, amikacin | Penicillin | Survived and infection resolved | Greene, 1992 [17] | 70/M | No | Not reported | Yes | Emphysematous cystitis | Yes | Metronidazole, cefotaxime | Penicillin, cefotaxime | Survived and infection resolved | Katz et al., 1993 [18] | 75/F | Yes | Yes | No | Emphysematous cystitis | Yes | Ampicillin | Penicillin G | Survived and infection resolved | Lazarescu et al., 2012 [19] | 34/F | No | Not reported | No | Gangrenous cystitis | Yes | Not reported | Not reported | Deceased |
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