title: Multi-organ failure secondary to a Clostridium perfringens gaseous liver abscess following a self-limited episode of acute gastroenteritis.
abstract: BACKGROUND
  Clostridium perfringens is an unusual pathogen responsible for the development of a gas-forming pyogenic liver abscess. Progression to septicemia with this infection has amplified case fatality rates.
  
  
  METHODS
  We report a case of an 81-year-old lady with pyogenic liver abscess with gas formation that was preceded by an acute gastroenteritis. The most common precipitating factors are invasive procedures and immunosuppression. Clostridium perfringens was unexpectedly isolated in the drained abscess, as well as blood. It is a normal inhabitant of the human bowel and a common cause of food poisoning, notoriously leading to tissue necrosis and gas gangrene.
  
  
  CONCLUSIONS
  We report a case of gas-forming pyogenic liver abscess and bacteremia progressing to fatal septic shock, caused by an uncommon Clostridium perfringens isolate.
authors: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA.
authors: Sherif Ali
authors: SA
authors: Eltawansy
authors: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA.
authors: Chandni
authors: C
authors: Merchant
authors: Department of Internal Medicine, Monmouth Medical Center,, Long Branch, NJ, USA.
authors: Paavani
authors: P
authors: Atluri
authors: Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA.
authors: Sukrut
authors: S
authors: Dwivedi
mesh_terms: D000369:Aged, 80 and over; D003015:Clostridium Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003016:Clostridium perfringens; D017809:Fatal Outcome; D005260:Female; D005759:Gastroenteritis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D012772:Shock, Septic / Q000382:microbiology*