Volume 4, Number 2—June 1998
Dispatch
Clostridium septicum Infection and Hemolytic Uremic Syndrome
Table
Hemolytic uremic syndrome–associated Clostridium septicum infection
| Cytopeniasc |
||||||
|---|---|---|---|---|---|---|
| Country, year (ref) | Sex,a age (yrs) | E.colib in feces | Cl. Septicum isolated from | granulo- | thrombo- | Clinical features–outcome |
| USA, 1988 (8) | M, 1 | NSd | Rash aspirate, PMe blood | No | Yes | Abdominal rash, sepsis, convulsions, cerebritis, necrosis colon—died |
| England, 1993 (9) | M, 4 | O157 | Blood, PM brain | No | Yes | Convulsions, cerebritis, necrosis colon—died |
| USA, 1993 (10) | F, 2 | E. coli | Blood, cerebrospinal fluid | No | Yes | Sepsis, cerebritis, meningitis, necrosis colon—died |
| USA, 1995 (11) | M, 2 | O157 | Abscess pus | No | Yes | Brain abscess—recovered |
| England, 1997 (this study) | M, 2 | O157 | Blood | No | Yes | Septic shock—died |
a M, male; F, female.
bEscherichia coli.
cAt HUS = at the time that hemolytic uremic syndrome was evident.
dNS, not stated.
ePM, postmortem.
