Volume 28, Number 3—March 2022
Research
Case–Control Study of Clostridium innocuum Infection, Taiwan
Table 4
Characteristic | Castiglioni et al. (10) | Crum-Cianflone et al. (29) | Hung et al. (30) | Mutoh et al. (31) | Aroca-Ferri et al. (32) |
---|---|---|---|---|---|
Year and country |
2003 United States |
2009 United States |
2014 Taiwan |
2015 Japan |
2019 Spain |
Age, y/sex |
38/F |
38/M |
85/M |
32/M |
44/F |
Underlying conditions |
Chronic HCV, interstitial nephritis after renal transplant |
AIDS |
DM with CDAD and CMV colitis |
ALL |
Takayasu arteritis, ESRD under PD |
Isolation site |
Blood |
Blood |
Blood |
Blood, BM |
Peritoneal fluid |
Vancomycin MIC |
16 μg/mL |
NA |
>32 μg/mL |
8 μg/mL |
8 μg/mL |
Diagnosis |
Bacteremia secondary to infectious hematoma |
Bacteremia |
Bacteremia |
Pelvic osteomyelitis complicated with iliac muscle abscess |
PD peritonitis complicated with sigmoid colon perforation |
Treatment |
IV TZP, IV CLI |
IV DAP, PO MTZ |
IV TZP |
IV TZP, IV MTZ, IV CLI |
IV CTX, IP AMP, IP CLI |
Duration |
11 days and surgery |
NA |
2 weeks |
8 weeks |
15 days |
Outcome | Recovered | Recovered | Recovered | Recovered | Died |
*ALL, acute lymphoblastic leukemia; AMP, ampicillin; BM, bone marrow; CDAD, C. difficile–associated diarrhea; CLI, clindamycin; CMV, cytomegalovirus; CTX, cefotaxime; DAP, daptomycin; ERY, erythromycin; ESRD, end stage renal disease; HCV, hepatitis C virus; IP, intraperitoneal route; IV, intravenous route; MIC, minimum inhibitory concentration; MTZ, metronidazole; NA, not available; PD, peritoneal dialysis; PO, oral route; TZP, piperacillin/tazobactam.
References
- Smith LD, King E. Clostridium innocuum, sp. n., a sporeforming anaerobe isolated from human infections. J Bacteriol. 1962;83:938–9. DOIPubMedGoogle Scholar
- Alexander CJ, Citron DM, Brazier JS, Goldstein EJ. Identification and antimicrobial resistance patterns of clinical isolates of Clostridium clostridioforme, Clostridium innocuum, and Clostridium ramosum compared with those of clinical isolates of Clostridium perfringens. J Clin Microbiol. 1995;33:3209–15. DOIPubMedGoogle Scholar
- Stokes NA, Hylemon PB. Characterization of delta 4-3-ketosteroid-5 beta-reductase and 3 beta-hydroxysteroid dehydrogenase in cell extracts of Clostridium innocuum. Biochim Biophys Acta. 1985;836:255–61. DOIPubMedGoogle Scholar
- Carlier JP, Sellier N. Identification by gas chromatography-mass spectrometry of short-chain hydroxy acids produced by Fusobacterium species and Clostridium innocuum. J Chromatogr A. 1987;420:121–8. DOIPubMedGoogle Scholar
- Johnston NC, Goldfine H, Fischer W. Novel polar lipid composition of Clostridium innocuum as the basis for an assessment of its taxonomic status. Microbiology (Reading). 1994;140:105–11. DOIPubMedGoogle Scholar
- Li Y, Shan M, Zhu Z, Mao X, Yan M, Chen Y, et al. Application of MALDI-TOF MS to rapid identification of anaerobic bacteria. BMC Infect Dis. 2019;19:941. DOIPubMedGoogle Scholar
- Cutrona AF, Watanakunakorn C, Schaub CR, Jagetia A. Clostridium innocuum endocarditis. Clin Infect Dis. 1995;21:1306–7. DOIPubMedGoogle Scholar
- Chia JH, Wu TS, Wu TL, Chen CL, Chuang CH, Su LH, et al. Clostridium innocuum is a vancomycin-resistant pathogen that may cause antibiotic-associated diarrhoea. Clin Microbiol Infect. 2018;24:1195–9. DOIPubMedGoogle Scholar
- Chia JH, Feng Y, Su LH, Wu TL, Chen CL, Liang YH, et al. Clostridium innocuum is a significant vancomycin-resistant pathogen for extraintestinal clostridial infection. Clin Microbiol Infect. 2017;23:560–6. DOIPubMedGoogle Scholar
- Castiglioni B, Gautam A, Citron DM, Pasculle W, Goldstein EJC, Strollo D, et al. Clostridium innocuum bacteremia secondary to infected hematoma with gas formation in a kidney transplant recipient. Transpl Infect Dis. 2003;5:199–202. DOIPubMedGoogle Scholar
- David V, Bozdogan B, Mainardi JL, Legrand R, Gutmann L, Leclercq R. Mechanism of intrinsic resistance to vancomycin in Clostridium innocuum NCIB 10674. J Bacteriol. 2004;186:3415–22. DOIPubMedGoogle Scholar
- Peng Z, Ling L, Stratton CW, Li C, Polage CR, Wu B, et al. Advances in the diagnosis and treatment of Clostridium difficile infections. Emerg Microbes Infect. 2018;7:15. DOIPubMedGoogle Scholar
- Jewkes J, Larson HE, Price AB, Sanderson PJ, Davies HA. Aetiology of acute diarrhoea in adults. Gut. 1981;22:388–92. DOIPubMedGoogle Scholar
- McDonald LC, Gerding DN, Johnson S, Bakken JS, Carroll KC, Coffin SE, et al. Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clin Infect Dis. 2018;66:987–94. DOIPubMedGoogle Scholar
- Shannon S, Kronemann D, Patel R, Schuetz AN. Routine use of MALDI-TOF MS for anaerobic bacterial identification in clinical microbiology. Anaerobe. 2018;54:191–6. DOIPubMedGoogle Scholar
- Veloo AC, de Vries ED, Jean-Pierre H, Justesen US, Morris T, Urban E, et al.; ENRIA workgroup. The optimization and validation of the Biotyper MALDI-TOF MS database for the identification of Gram-positive anaerobic cocci. Clin Microbiol Infect. 2016;22:793–8. DOIPubMedGoogle Scholar
- Li Y, Shan M, Zhu Z, Mao X, Yan M, Chen Y, et al. Application of MALDI-TOF MS to rapid identification of anaerobic bacteria. BMC Infect Dis. 2019;19:941. DOIPubMedGoogle Scholar
- Khanna S, Pardi DS, Aronson SL, Kammer PP, Orenstein R, St Sauver JL, et al. The epidemiology of community-acquired Clostridium difficile infection: a population-based study. Am J Gastroenterol. 2012;107:89–95. DOIPubMedGoogle Scholar
- Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–83. DOIPubMedGoogle Scholar
- Pepin J, Alary ME, Valiquette L, Raiche E, Ruel J, Fulop K, et al. Increasing risk of relapse after treatment of Clostridium difficile colitis in Quebec, Canada. Clin Infect Dis. 2005;40:1591–7. DOIPubMedGoogle Scholar
- Lee HY, Hsiao HL, Chia CY, Cheng CW, Tsai TC, Deng ST, et al. Risk factors and outcomes of Clostridium difficile infection in hospitalized patients. Biomed J. 2019;42:99–106. DOIPubMedGoogle Scholar
- Clinical and Laboratory Standards Institute (CLSI). Performance standards for antimicrobial susceptibility testing: 27th edition (M100–S27). Wayne (PA): The Institute; 2017.
- Van Daele E, Van de Putte D, Ceelen W, Van Nieuwenhove Y, Pattyn P. Risk factors and consequences of anastomotic leakage after Ivor Lewis oesophagectomy. Interact Cardiovasc Thorac Surg. 2016;22:32–7. DOIPubMedGoogle Scholar
- Finegold SM, Song Y, Liu C, Hecht DW, Summanen P, Könönen E, et al. Clostridium clostridioforme: a mixture of three clinically important species. Eur J Clin Microbiol Infect Dis. 2005;24:319–24. DOIPubMedGoogle Scholar
- Leal J, Gregson DB, Ross T, Church DL, Laupland KB. Epidemiology of Clostridium species bacteremia in Calgary, Canada, 2000-2006. J Infect. 2008;57:198–203. DOIPubMedGoogle Scholar
- Bodey GP, Rodriguez S, Fainstein V, Elting LS. Clostridial bacteremia in cancer patients. A 12-year experience. Cancer. 1991;67:1928–42. DOIPubMedGoogle Scholar
- Shah M, Bishburg E, Baran DA, Chan T. Epidemiology and outcomes of clostridial bacteremia at a tertiary-care institution. ScientificWorldJournal. 2009;9:144–8. DOIPubMedGoogle Scholar
- Ha CWY, Martin A, Sepich-Poore GD, Shi B, Wang Y, Gouin K, et al. Translocation of viable gut microbiota to mesenteric adipose drives formation of creeping fat in humans. Cell. 2020;183:666–683.e17. DOIPubMedGoogle Scholar
- Crum-Cianflone N. Clostridium innocuum Bacteremia in a patient with acquired immunodeficiency syndrome. Am J Med Sci. 2009;337:480–2. DOIPubMedGoogle Scholar
- Hung YP, Lin HJ, Wu CJ, Chen PL, Lee JC, Liu HC, et al. Vancomycin-resistant Clostridium innocuum bacteremia following oral vancomycin for Clostridium difficile infection. Anaerobe. 2014;30:24–6. DOIPubMedGoogle Scholar
- Mutoh Y, Hirai R, Tanimura A, Matono T, Morino E, Kutsuna S, et al. Osteomyelitis due to Clostridium innocuum in a patient with acute lymphoblastic leukemia: case report and literature review. Springerplus. 2015;4:385. DOIPubMedGoogle Scholar
- Aroca-Ferri M, Suárez-Hormiga L, Bosch-Benitez-Parodi E, Bolaños-Rivero M. Peritonitis by Clostridium innocuum associated to peritoneal dialysis [in Spanish]. Rev Esp Quimioter. 2019;32:192–3.
- Morel G, Mulier G, Ghrenassia E, Abdel Nabey M, Tandjaoui Y, Kouatchet A, et al. Non–C. difficile Clostridioides bacteremia in intensive care patients, France. Emerg Infect Dis. 2021;27:1840–9. DOIPubMedGoogle Scholar
- Cherny KE, Ozer EA, Kochan TJ, Johnson S, Kociolek LK. Complete genome sequence of Clostridium innocuum strain LC–LUMC-CI-001, isolated from a patient with recurrent antibiotic-associated diarrhea. Microbiol Resour Announc. 2020;9:e00365–20. DOIPubMedGoogle Scholar
- Sánchez-Hurtado K, Poxton IR. Enhancement of the cytotoxic activity of Clostridium difficile toxin A by surface-associated antigens. J Med Microbiol. 2008;57:739–44. DOIPubMedGoogle Scholar
1These authors contributed equally to this article.
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