Two Cases of Clostridium tertium Infection and Successful Identification of the Organism by Matrix-Assisted Laser Desorption-Ionization Time-of-Flight Mass Spectrometry Analysis

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Clostridium tertium Bacteremia in a Non-neutropenic Patient with Small Bowel Obstruction / 감염과화학요법

Clostridium tertium-induced bacteremia is a rare condition seen predominantly in neutropenic patients and/or patients with gastrointestinal disease. In this report, we describe a non-neutropenic, 72-year-old patient with a small bowel obstruction who presented with C. tertium bacteremia. Clostridium tertium is aerotolerant and resistant to broad-spectrum cephalosporins. The aerotolerant nature of C. tertium is resulted in delayed identification and reporting since it is not initially considered a candidate for infection.