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感染Clostridium Perfringens的個案報導

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感染Clostridium Perfringens的個案報導

Case report of Clostridium Perfringens Infection

Introduction
Clostridium perfringens is a Gram-positive, rod-shaped, anaerobic, spore-forming pathogenic bacterium of the genus Clostridium. C. perfringens is ever-present in nature and can be found as a normal component of decaying vegetation, marine sediment, the intestinal tract of humans and other vertebrates, insects, and soil.

Case report
We report two cases of sepsis due to C. perfringens by diabetic patients.
The 80-year-old female patient and 81-year-old female patient living in nursing home.
One day, two patients came to the emergency department together because of fever, and the blood was drawn to test the blood culture. The results showed that the blood cultures were all C. perfringens. However, according to the literature, blood infections are caused by anaerobic bacteria. In recent years, it has been increasing year by year.

Laboratory materials
The BD Phoenix identification card was used to identify the strain.

Discussion
Anaerobes are usually not as good as in the clinical diagnostic value of aerobic bacteria is more important, but when the patient has a phase when risk factors and disease history off must take into account the possibility of anaerobic bacteria hyperlipidemia. Currently for the anaerobic treatment of bacteria in addition to the experience of therapy, should also by providing the right drug sensitivity test laboratory report and reported to be related to treatment.

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