Clostridium bifermentans bacteremia with metastatic osteomyelitis.
Osteomyelitis caused solely by an anaerobic organism is uncommon. We report a case of recurrent Clostridium bifermentans bacteremia resulting in metastatic osteomyelitis involving the sacrum, spine, and ribs. The emergence of resistance of this organism to imipenem and metronidazole is noteworthy because of the usual susceptibility of clostridial species to these antibiotics.
Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York 11042.
D R
DR
Scanlan
M A
MA
Smith
H D
HD
Isenberg
S
S
Engrassia
E
E
Hilton
D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000382:microbiology*; D003013:Clostridium / Q000187:drug effects / Q000302:isolation & purification*; D004352:Drug Resistance, Microbial; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology*; D012008:Recurrence