Case Report

Life-Threatening Clostridial Sepsis in a Postmenopausal Patient with Degenerating Uterine Leiomyoma

Table 1

Summary of cases of Clostridium perfringens in middle-aged (age > 45 years) women.

ReferenceAgeUterine pathologyClinical c o n d i t i o n s a X- R a y b SurgeryDeath

Kaufmannet al.[5]56LeiomyomaFever Y e s c N o d Yes
Hemolysis/anemia
Hyperbilirubinemia
Hemoglobinemia
Hemoglobinuria
Hypotension

Symondsand Robertson[6]57Endometrial adenocarcinomaFeverNoNoYes
Hemolysis/anemia
Hyperbilirubinemia
Hemoglobinemia
Hemoglobinuria

ā€ƒ49Endometrial adenocarcinomaFeverNoNoNo
Hyperbilirubinemia

Bravermanet al.[7]64Endometrial adenocarcinomaFeverYesYesNo
A n e m i a c
Hyperbilirubinemia

Bryant60LeiomyomaFeverYesYesNo
Hemolysis/anemia
Hyperbilirubinemia
Hemoglobinemia
Hemoglobinuria
Hypotension

a C l i n i c a l conditions are a summary of the laboratory and physical exam findings reported in the manuscript
b X-ray includes plain film, sonogram, or computed tomography
c X-ray was performed postmortem
d Uterus was examined during autopsy.