[Bacteremia caused by Clostridium perfringens as a complication of ureterosigmoidostomy].
A 63 year old male underwent cystectomy and ureterosigmoidostomy after diffuse carcinoma "in situ" of the bladder was discovered, and thereafter, various episodes of pyelonephritis and metabolic imbalance, in one of them, a left pneumo-ureter and a positive blood culture for Clostridium Perfringens and enterococci was detected. Empiric therapy with Aztreonam was started, and changed after to high-dose intravenous amoxicillin. Two months later the ureterosigmoidostomy was converted to an ileal conduit. The patient has remained asymptomatic on subsequent controls.
Batista-Miranda
J E
JE
Servicio de Urología, Fundación Puigvert, Barcelona.
Fariña Pérez
L A
LA
Rosales Bordes
A
A
Villavicencio Mavrich
H
H
D016470:Bacteremia / Q000209:etiology*; D003015:Clostridium Infections / Q000209:etiology*; D003016:Clostridium perfringens; D012809:Colon, Sigmoid / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014519:Ureterostomy / Q000009:adverse effects*
Bacteriemia por clostridium perfringens como complicación de una ureterosigmoidostomía.