Clostridium perfringens bloodstream infection secondary to acute pancreatitis: A case report

Table 1 Comparison of blood tests between the two admissions

	Second admission	First admission	Normal range
White blood cells (109/L)	29.50	15.83	4-10
Red blood cells (1012/L)	1.88	4.28	3.5-5.5
Hemoglobin (g/L)	64	132	110-160
Hematocrit (%)	13.5	38.4	37-49
Mean corpuscular volume (fL)	71.8	89.7	80-100
Mean corpuscular hemoglobin (pg)	34	30.9	27-32
Mean corpuscular hemoglobin concentration (g/L)	474	344	320-360
Platelets (109/L)	95	181	100-300

Table 2 Liver function at the second admission

	Second admission	Normal range
Total protein (g/L)	118.6	60-80
Albumin (g/L)	56.1	35-55
Prealbumin (mg/L)	96	200-400
Total bilirubin (µmol/L)	128.3	5.1-20.4
Direct bilirubin (µmol/L)	86.3	1.7-6.8
Total bile acid (µmol/L)	30.9	1-7
Alkaline phosphatase (U/L)	430	34-114
γ-glutaryl transferase (U/L)	481	11-50
Alanine transaminase (U/L)	310	5-40

Table 3 Serum electrolytes

	Second admission	Normal range
Sodium (mmol/L)	135.6	135-145
Potassium (mmol/L)	3.95	3.6-5.5
Chlorinum (mmol/L)	102.1	96-106

Table 4 Summary of the clinical course

Time		Event
January 8	16:30	First admission to the emergency room
	17:00-18:00	Urine amylase at 10403 U/L (normal: 47-458), first CT, first blood routine test, blood amylase at 1006 U/L (normal: < 100)
	The end	Refused hospitalization, anti-pancreatitis treatment in the emergency room
January 9	11:00	Second admission to the emergency room
	12:00	Hospitalization, walked into the general ward
	13:45	Consciousness disturbance, oxygen saturation 77%
	14:30	Consciousness recovered a little, oxygen saturation 90%
	16:00	Second CT on the way to the ICU
	17:12	Second blood routine test, liver function
	21:42	High fever of 40 °C, blood culture
	22:18	Cefoperazone/sulbactam was administered
January 10	00:30	Cardiac arrest
	01:30	Death
January 13	10:40	The result of the blood culture confirmed Clostridium perfringens infection

CT: Computed tomography; ICU: Intensive care unit.