Case Reports1 September 1958LIVER ABSCESS DUE TO CLOSTRIDIUM PERFRINGENSRAYMOND M. KIVEL, ALEXANDER KESSLER, DONALD J. CAMERONRAYMOND M. KIVELSearch for more papers by this author, ALEXANDER KESSLERSearch for more papers by this author, DONALD J. CAMERONSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-49-3-672 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONAlthough clostridia are widely distributed in nature and are normal inhabitants of the human intestine, their invasiveness as pathogens is usually related to some sort of physical trauma with local tissue destruction. Clostridia, however, may often be present at the site of accidental or surgical trauma without causing clinical infection. This close association of clostridial infection with trauma, together with the rarity of other clinical types of infection, has been considered as evidence that some peculiar host factors, usually presumed to be necrotic tissue without oxygen supply, are required for initiation of infection by these organisms.The present report...Bibliography1. AltemeierFurste WAWL: Gas gangrene. Collective review, Surg., Gynec. and Obst. 84: 507, 1947. MedlineGoogle Scholar2. Rhodes RL: Abdominal gas bacillus catastrophes, Ann. Surg. 103: 804, 1936. CrossrefMedlineGoogle Scholar3. Welch WH: Morbid conditions caused by Bacillus aerogenes capsulatus , Bull. Johns Hopkins Hosp. 11: 185, 1900. Google Scholar4. Madison BB: Perinephric abscess, Wisconsin M. J. 39: 932, 1940. Google Scholar5. GlaserGlynnHanan LEREB: Gas bacillus gangrene of lung, J. A. M. A. 116: 827, 1941. CrossrefGoogle Scholar6. More RH: Bacterial endocarditis due to Clostridium welchii , Am. J. Path. 19: 413, 1943. MedlineGoogle Scholar7. QuinnLordWade WCJWLJ: Welch bacillus infections arising from the stomach and duodenum, Surgery 11: 229, 1942. Google Scholar8. Schottenfeld LE: Anaerobic infections of the biliary tract, Surgery 27: 701, 1950. MedlineGoogle Scholar9. Gordon-TaylorWhitby GLE: Bacteriological study of 50 cases of cholecystectomy with special reference to anaerobic infections, Brit. J. Surg. 18: 78, 1930. CrossrefGoogle Scholar10. MagnerHutcheson WJM: Cholecystitis, Canad. M. A. J. 27: 469, 1932. MedlineGoogle Scholar11. OchsnerDeBakeyMurray AMS: Pyogenic abscess of the liver. II. An analysis of forty-seven cases with review of the literature, Am. J. Surg. 40: 292, 1938. CrossrefGoogle Scholar12. PrattFulton JMFT: Report of cases in which the Bacillus aerogenes capsulatus was found, Boston M. and S. J. 142: 599, 1900. CrossrefGoogle Scholar13. Beaver DV: Granulomatous abscess of the liver of pyogenic origin, Am. J. Path. 7: 259, 1931. MedlineGoogle Scholar14. Flynn JE: Pyogenic liver abscess. Review of the literature and report of a case successfully treated by operation and penicillin, New England J. Med. 234: 403, 1946. CrossrefMedlineGoogle Scholar15. MasonHart ECMS: The Welch-like bacillus in human liver, J. Lab. and Clin. Med. 25: 835, 1940. Google Scholar16. SborovMorseGigesJahnke VMCWBES: Bacteriology of the human liver, J. Clin. Investigation 31: 986, 1952. CrossrefMedlineGoogle Scholar17. EliasonErbGilbert ELWMPD: The Clostridium welchii and associated organisms, Surg., Gynec. and Obst. 64: 1005, 1937. Google Scholar18. ChauGoldbloomGurd YSVCFN: Clostridial infection as a cause of death after ligation of the hepatic artery, Arch. Surg. 63: 390, 1951. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication February 27, 1957.From the Second (Cornell) Medical Division, Bellevue Hospital, New York, N. Y.Requests for reprints should be addressed to Raymond M. Kivel, M.D., Department of Medicine, Stanford University School of Medicine, San Francisco, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byClostridium paraputrificum septicemia and liver abscessLiver Abscesses as Pseudotumoral LesionsLiver Abscesses as Pseudotumoral LesionsA Case of Clostridium Liver Abscess with SepsisClostridium perfringens Hepatic Abscess Bubbles Up After Recent ChemotherapyClostridium perfringens Liver Abscess after Pancreatic ResectionAnaerobic Pyogenic Liver AbscessJACOBO SABBAJ, M.D., VERA L. SUTTER, Ph.D., SYDNEY M. FINEGOLD, M.D., F.A.C.P.Anaerobic infectionsTwo cases of clostridial hepatitisGas gangrene of the brain 1 September 1958Volume 49, Issue 3Page: 672-679KeywordsAcidosisAutopsy pathologyBacteremiaBileClostridiumClostridium infectionsLiverOxygenPathogensThrombosis ePublished: 1 December 2008 Issue Published: 1 September 1958 PDF downloadLoading ...