title: Clostridium hastiforme bacteraemia secondary to pyometra in a 64-year-old woman.
abstract: The Gram-negative, rod-shaped, anaerobe bacteria Tissierella praeacuta was first described in 1908 by Tissier. However, during the past decade, Clostridium hastiforme has been recognised as a later synonym of T. praeacuta. C. hastiforme/T. praeacuta has only rarely been described in previous literature as a cause of human infection. We present here a case report of C. hastiforme/T. praeacuta bacteraemia secondary to pyometra in a 64-year-old woman with a history of multiple sclerosis and an intrauterine device inserted three decades earlier. C. hastiforme/T. praeacuta was isolated from blood as well as pus from the site of infection. The patient was cured with a combination of drainage and antibiotic therapy.
authors.affiliation: Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
authors.forename: Matilde
authors.initials: M
authors.lastname: Ørum
authors.affiliation: Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
authors.forename: David
authors.initials: D
authors.lastname: Fuglsang-Damgaard
authors.affiliation: Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark.
authors.forename: Hans Linde
authors.initials: HL
authors.lastname: Nielsen
mesh_terms: D016470:Bacteremia / Q000209:etiology*; D003015:Clostridium Infections / Q000150:complications* / Q000601:surgery; D020878:Device Removal; D004322:Drainage; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000601:surgery; D055112:Pyometra / Q000150:complications* / Q000601:surgery