Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome
Clostridium sordellii is a toxin producing ubiquitous gram-positive anaerobe, mainly associated with trauma, soft tissue skin infections, and gynecologic infection. We report a unique case of a new strain of Clostridium sordellii (not present in the Center for Disease Control (CDC) database) infecti...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2014/237674 |
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| author | Rebekah Beyers Michael Baldwin Sevilay Dalabih Abdallah Dalabih |
| author_facet | Rebekah Beyers Michael Baldwin Sevilay Dalabih Abdallah Dalabih |
| author_sort | Rebekah Beyers |
| collection | DOAJ |
| description | Clostridium sordellii is a toxin producing ubiquitous gram-positive anaerobe, mainly associated with trauma, soft tissue skin infections, and gynecologic infection. We report a unique case of a new strain of Clostridium sordellii (not present in the Center for Disease Control (CDC) database) infection induced toxic shock syndrome in a previously healthy two-year-old male with colitis-related hemolytic uremic syndrome (HUS). The patient presented with dehydration, vomiting, and bloody diarrhea. He was transferred to the pediatric critical care unit (PICU) for initiation of peritoneal dialysis (PD). Due to increased edema and intolerance of PD, he was transitioned to hemodialysis through a femoral vascular catheter. He subsequently developed severe septic shock with persistent leukocytosis and hypotension, resulting in subsequent death. Stool culture confirmed Shiga toxin producing Escherichia coli 0157:H7. A blood culture was positively identified for Clostridium sordellii. Clostridium sordelli is rarely reported in children; to our knowledge this is the first case described in a pediatric patient with HUS. |
| format | Article |
| id | doaj-art-23ebd052629b46f7b844aa977d48b7d2 |
| institution | OA Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-23ebd052629b46f7b844aa977d48b7d22025-08-20T02:04:13ZengWileyCase Reports in Pediatrics2090-68032090-68112014-01-01201410.1155/2014/237674237674Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic SyndromeRebekah Beyers0Michael Baldwin1Sevilay Dalabih2Abdallah Dalabih3Department of Child Health, University of Missouri, 400 Keene Street, Columbia, MO 65201, USADepartment of Molecular Microbiology and Immunology, University of Missouri, Columbia, MO 65201, USADepartment of Child Health, University of Missouri, 400 Keene Street, Columbia, MO 65201, USADepartment of Child Health, University of Missouri, 400 Keene Street, Columbia, MO 65201, USAClostridium sordellii is a toxin producing ubiquitous gram-positive anaerobe, mainly associated with trauma, soft tissue skin infections, and gynecologic infection. We report a unique case of a new strain of Clostridium sordellii (not present in the Center for Disease Control (CDC) database) infection induced toxic shock syndrome in a previously healthy two-year-old male with colitis-related hemolytic uremic syndrome (HUS). The patient presented with dehydration, vomiting, and bloody diarrhea. He was transferred to the pediatric critical care unit (PICU) for initiation of peritoneal dialysis (PD). Due to increased edema and intolerance of PD, he was transitioned to hemodialysis through a femoral vascular catheter. He subsequently developed severe septic shock with persistent leukocytosis and hypotension, resulting in subsequent death. Stool culture confirmed Shiga toxin producing Escherichia coli 0157:H7. A blood culture was positively identified for Clostridium sordellii. Clostridium sordelli is rarely reported in children; to our knowledge this is the first case described in a pediatric patient with HUS.http://dx.doi.org/10.1155/2014/237674 |
| spellingShingle | Rebekah Beyers Michael Baldwin Sevilay Dalabih Abdallah Dalabih Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome Case Reports in Pediatrics |
| title | Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome |
| title_full | Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome |
| title_fullStr | Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome |
| title_full_unstemmed | Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome |
| title_short | Clostridium sordellii as a Cause of Fatal Septic Shock in a Child with Hemolytic Uremic Syndrome |
| title_sort | clostridium sordellii as a cause of fatal septic shock in a child with hemolytic uremic syndrome |
| url | http://dx.doi.org/10.1155/2014/237674 |
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