1887

Abstract

Extra-intestinal manifestations of infection are uncommon. Most cases are associated with gastrointestinal disease and often occur as a mixed infection with other gut flora. We report a case of breast abscess following monomicrobial bacteraemia in a female with background chronic hepatitis C infection and alcoholic liver disease. No evidence of colitis was found. Our case shows that is indeed capable of spreading from the gastrointestinal tract.

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2011-03-01
2019-12-11
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References

  1. Balzan, S., De Almeida Quadros, C., De Cleva, R., Zilberstein, B. & Cecconello, I. ( 2007; ). Bacterial translocation: overview of mechanisms and clinical impact. J Gastroenterol Hepatol 22, 464–471.[CrossRef]
    [Google Scholar]
  2. Bhargava, A., Sen, P., Swaminathan, A., Ogbolu, C., Chechko, S. & Stone, F. ( 2000; ). Rapidly progressive necrotizing fasciitis and gangrene due to Clostridium difficile: case report. Clin Infect Dis 30, 954–955.[CrossRef]
    [Google Scholar]
  3. Brown, T. A., Rajappannair, L., Dalton, A. B., Bandi, R., Myers, J. P. & Kefalas, C. H. ( 2007; ). Acute appendicitis in the setting of Clostridium difficile colitis: case report and review of the literature. Clin Gastroenterol Hepatol 5, 969–971.[CrossRef]
    [Google Scholar]
  4. Ducroix-Roubertou, S., Genet, C., Rogez, J. P., Weinbreck, P. & Denes, E. ( 2005; ). Reactive arthritis due to Clostridium difficile. Med Mal Infect 35, 419–421.[CrossRef]
    [Google Scholar]
  5. Feldman, R. J., Kallich, M. & Weinstein, M. P. ( 1995; ). Bacteremia due to Clostridium difficile: case report and review of extraintestinal C. difficile infections. Clin Infect Dis 20, 1560–1562.[CrossRef]
    [Google Scholar]
  6. García-Lechuz, J. M., Hernangómez, S., San Juan, R., Peláez, T., Alcalá, L. & Bouza, E. ( 2001; ). Extra-intestinal infections caused by Clostridium difficile. Clin Microbiol Infect 7, 453–457.[CrossRef]
    [Google Scholar]
  7. Genta, V. M., Gilligan, P. H. & McCarthy, L. R. ( 1984; ). Clostridium difficile peritonitis in a neonate. A case report. Arch Pathol Lab Med 108, 82–83.
    [Google Scholar]
  8. Gravisse, J., Barnaud, G., Hanau-Berçot, B., Raskine, L., Riahi, J., Gaillard, J. L. & Sanson-Le-Pors, M. J. ( 2003; ). Clostridium difficile brain empyema after prolonged intestinal carriage. J Clin Microbiol 41, 509–511.[CrossRef]
    [Google Scholar]
  9. Jacobs, A., Barnard, K., Fishel, R. & Gradon, J. D. ( 2001; ). Extracolonic manifestations of Clostridium difficile infections. Presentation of 2 cases and review of the literature. Medicine (Baltimore) 80, 88–101.[CrossRef]
    [Google Scholar]
  10. Kumar, N., Flanagan, P., Wise, C. & Lord, R. ( 1997; ). Splenic abscess caused by Clostridium difficile. Eur J Clin Microbiol Infect Dis 16, 938–939.[CrossRef]
    [Google Scholar]
  11. Lee, N. Y., Huang, Y. T., Hsueh, P. R. & Ko, W. C. ( 2010; ). Clostridium difficile bacteremia, Taiwan. Emerg Infect Dis 16, 1204–1210.[CrossRef]
    [Google Scholar]
  12. Libby, D. B. & Bearman, G. ( 2009; ). Bacteremia due to Clostridium difficile – review of the literature. Int J Infect Dis 13, e305–e309.[CrossRef]
    [Google Scholar]
  13. NPHS ( 2009; ). Clostridium difficile PCR Ribotype Surveillance in Wales 2008. Cardiff: National Public Health Service for Wales.
  14. Pron, B., Merckx, J., Touzet, P., Ferroni, A., Poyart, C., Berche, P. & Gaillard, J. L. ( 1995; ). Chronic septic arthritis and osteomyelitis in a prosthetic knee joint due to Clostridium difficile. Eur J Clin Microbiol Infect Dis 14, 599–601.[CrossRef]
    [Google Scholar]
  15. Sakurai, T., Hajiro, K., Takakuwa, H., Nishi, A., Aihara, M. & Chiba, T. ( 2001; ). Liver abscess caused by Clostridium difficile. Scand J Infect Dis 33, 69–70.[CrossRef]
    [Google Scholar]
  16. Spencer, R. C., Courtney, S. P. & Nicol, C. D. ( 1984; ). Polymicrobial septicaemia due to Clostridium difficile and Bacteroides fragilis. Br Med J (Clin Res Ed) 289, 531–532.[CrossRef]
    [Google Scholar]
  17. Urbán, E., Terhes, G., Markotics, A., Sóki, J. & Nagy, E. ( 2010; ). Rare extraintestinal infection caused by toxin-producing Clostridium difficile. Anaerobe 16, 301–303.[CrossRef]
    [Google Scholar]
  18. Wolf, L. E., Gorbach, S. L. & Granowitz, E. V. ( 1998; ). Extraintestinal Clostridium difficile: 10 years' experience at a tertiary-care hospital. Mayo Clin Proc 73, 943–947.[CrossRef]
    [Google Scholar]
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