title: [Bacteremia caused by Clostridium perfringens as a complication of ureterosigmoidostomy].
abstract: 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.
authors.affiliation: Servicio de Urología, Fundación Puigvert, Barcelona.
authors.forename: J E
authors.initials: JE
authors.lastname: Batista-Miranda
authors.forename: L A
authors.initials: LA
authors.lastname: Fariña Pérez
authors.forename: A
authors.initials: A
authors.lastname: Rosales Bordes
authors.forename: H
authors.initials: H
authors.lastname: Villavicencio Mavrich
mesh_terms: 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*
vernacular_title: Bacteriemia por clostridium perfringens como complicación de una ureterosigmoidostomía.