Multiorgan failure following gastroenteritis: a case report
| Autor: | James Padley, Rassam Badbess, Maneesha Dedigama, Joseph De Zylva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Enterococcus avium Male medicine.medical_specialty Clostridium perfringens Multiple Organ Failure 030106 microbiology Liver Abscess lcsh:Medicine Case Report medicine.disease_cause Sepsis 03 medical and health sciences 0302 clinical medicine Fatal Outcome Rural/regional hospital Intensive care Internal medicine Medicine Humans Blood culture 030212 general & internal medicine Abscess medicine.diagnostic_test biology business.industry Septic shock Coinfection Portal Vein lcsh:R General Medicine Venous Thromboembolism Middle Aged medicine.disease biology.organism_classification bacterial infections and mycoses Shock Septic Hepatic Infarction Gastroenteritis Bacteremia Clostridium Infections business Enterococcus |
| Zdroj: | Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-5 (2020) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-020-02402-z |
| Popis: | Background This report highlights the first published case of fatal septic shock associated with Clostridium perfringens and Enterococcus avium bacteremia due to infective gastroenteritis. Case presentation We report a case of hepatic infarction, abscess, and death following gastroenteritis in a 63-year-old Aboriginal man who initially presented to a rural hospital with suspected food poisoning. The patient had persistent fever and was commenced on empirical antibiotics. His blood culture results were positive for Clostridium perfringens and Enterococcus avium. He was transferred to a tertiary center but developed organ failure and refractory shock. Initial computed tomography of the abdomen was unremarkable, but repeat imaging showed small bowel enteritis, hepatic abscess, and infarction as a result of portal vein septic thromboembolism. Despite maximal intensive care treatment, including percutaneous drainage of hepatic abscess and broad antibiotic cover, the patient died 6 days after initial presentation. Conclusions This case highlights the rare but commonly fatal course of sepsis associated with Clostridium perfringens bacteremia and demonstrates detrimental effects of coinfection with Enterococcus avium, including potential for rapidly seeding abscess formation. Lessons for rural practice are highlighted, including the need for urgent and early referral for intensive care support, particularly for patients with complex comorbidities. |
| Databáze: | OpenAIRE |
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