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- W4301649898 abstract "EMPYEMA caused by<i>Clostridium perfringens</i>is a rare infection that usually can be cured by penicillin therapy and drainage.<sup>1,2</sup>We describe a patient with clostridial empyema that was unusual because the organism was unresponsive to penicillin therapy. <h3>Report of a Case</h3> A 49-year-old man with severe peripheral arterial disease of the legs was admitted because of heart failure due to alcoholrelated congestive cardiomyopathy. Pulses were not palpable in his right leg, and a 2×3-cm ulcer was present on his right foot. Initial chest roentgenogram showed cardiomegaly and pulmonary edema. Although his condition improved on digoxin, furosemide, and hydralazine hydrochloride, he experienced a temperature of 37.7 °C and mild mental confusion. His WBC count was 22,000/cu mm, with a differential cell count of 90% polymorphonuclear leukocytes and 2% band cells. Lumbar puncture studies gave normal results. A chest roentgenogram on the seventh hospital day showed a loculated right pleural effusion." @default.
- W4301649898 created "2022-10-05" @default.
- W4301649898 creator A5072064607 @default.
- W4301649898 date "1982-05-14" @default.
- W4301649898 modified "2023-09-26" @default.
- W4301649898 title "Clostridium perfringens Empyema Unresponsive to Penicillin" @default.
- W4301649898 doi "https://doi.org/10.1001/jama.1982.03320430072037" @default.
- W4301649898 hasPublicationYear "1982" @default.
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