title: Acute Hemolysis with Renal Failure due toClostridiumBacteremia in a Patient with AML.
abstract: We present a case of acute hemolytic anemia, renal failure, andClostridium perfringensbacteremia in a patient with acute myelogenous leukemia. The high fatality ofC. perfringensbacteremia requires that clinicians recognize and rapidly treat patients at risk for this infection. Although other hemolytic processes are in the differential diagnosis of these events, the presence of high fever, chills, and rapidly positive blood cultures may help narrow the diagnosis. Most cases ofC. perfringensbacteremia have a concomitant coinfection, which makes broad spectrum empiric therapy essential. There is a high mortality rate ofC. perfringensinfections associated with leukemia.
authors: Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, MS 9410, Lubbock, TX 79430, USA.
authors: R M
authors: RM
authors: Medrano-Juarez
authors: Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, MS 9410, Lubbock, TX 79430, USA.
authors: D
authors: D
authors: Sotello
authors: Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, MS 9410, Lubbock, TX 79430, USA.
authors: M A
authors: 0000-0002-7915-0567
authors: MA
authors: Orellana-Barrios
authors: Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, MS 9410, Lubbock, TX 79430, USA.
authors: L
authors: L
authors: D'Cuhna
authors: Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, MS 9410, Lubbock, TX 79430, USA.
authors: J D
authors: JD
authors: Payne
authors: Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, MS 9410, Lubbock, TX 79430, USA.
authors: K
authors: 0000-0003-2781-4816
authors: K
authors: Nugent