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Polymicrobial septicemia with Clostridium difficile in acute diverticulitis.

M Gérard1, N Defresne, P Van der Auwera

  • 1Service de Médecine Interne, Clinique H. Tagnon, Institut Jules Bordet, l'Université Libre de Bruxelles, Belgium.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|April 1, 1989
PubMed
Summary

A patient developed severe bloodstream infection (polymicrobial septicemia) during acute diverticulitis. This case highlights Clostridium difficile as a potential pathogen in such infections, though its exact role requires further investigation.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Microbiology

Background:

  • Acute diverticulitis is a common condition often managed conservatively or surgically.
  • Polymicrobial septicemia, a serious bloodstream infection involving multiple microorganisms, can arise from intra-abdominal sources.
  • Clostridium difficile is a known cause of antibiotic-associated diarrhea and colitis, but its role in septicemia is less common.

Observation:

  • A patient presented with acute diverticulitis and polymicrobial septicemia.
  • The bloodstream infection was caused by Escherichia coli, Enterococcus faecalis, Clostridium difficile, and Bacteroides vulgatus.
  • Clostridium difficile, toxin-producing and serogroup C, was isolated from stool samples.

Findings:

  • The patient experienced septicemia concurrently with acute diverticulitis.

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  • While Clostridium difficile was identified in both blood and stool, its specific contribution to the gastrointestinal symptoms was uncertain.
  • A review of existing literature on Clostridium difficile septicemia is included.

    • Implications:

    • This case underscores the potential for polymicrobial infections, including Clostridium difficile, in acute diverticulitis.
    • Further research is needed to elucidate the pathogenic mechanisms and clinical significance of Clostridium difficile in diverticulitis-associated septicemia.
    • Enhanced diagnostic and therapeutic strategies may be required for managing complex infections in diverticulitis patients.