Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction
Clostridium sporogenes bacteremia in immunocompetent patients is rare with very few reported cases in the literature. We present a case of Clostridium sporogenes bacteremia in an 81-year-old immunocompetent man with small bowel obstruction and hypoxemia during the COVID-19 pandemic. Routine monitori...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2020/8812635 |
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| author | Marc J. Vecchio Matthew Jankowich Hassan Qadir Melissa Gaitanis Anupama Menon |
| author_facet | Marc J. Vecchio Matthew Jankowich Hassan Qadir Melissa Gaitanis Anupama Menon |
| author_sort | Marc J. Vecchio |
| collection | DOAJ |
| description | Clostridium sporogenes bacteremia in immunocompetent patients is rare with very few reported cases in the literature. We present a case of Clostridium sporogenes bacteremia in an 81-year-old immunocompetent man with small bowel obstruction and hypoxemia during the COVID-19 pandemic. Routine monitoring of prognostic inflammatory markers for COVID-19 created a unique challenge in the management of our patient who developed sepsis with respiratory symptoms. Upon review, bacteremia from Clostridium sporogenes was associated with high mortality rates and could produce similar elevations in the inflammatory markers observed in COVID-19 pneumonia. Further, we reviewed the cognitive biases encountered when monitoring these inflammatory markers during the management of our patient with Clostridium sporogenes bacteremia, who was initially thought to have COVID-19 disease. While our patient ultimately tested negative for COVID-19, early administration of empiric antimicrobial therapy without source control failed to prevent clinical decompensation. |
| format | Article |
| id | doaj-art-13ca6e02b1a748329567169b4c741a5f |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-13ca6e02b1a748329567169b4c741a5f2025-02-03T01:28:30ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/88126358812635Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel ObstructionMarc J. Vecchio0Matthew Jankowich1Hassan Qadir2Melissa Gaitanis3Anupama Menon4Brown University Warren Alpert Medical School, Eddy St, Providence, RI 02903, USADepartment of Pulmonary and Critical Care Medicine, Providence Veteran Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USADepartment of Internal Medicine, Providence Veteran Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USADepartment of Infectious Diseases, Providence Veteran Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USADepartment of Infectious Diseases, Providence Veteran Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI 02908, USAClostridium sporogenes bacteremia in immunocompetent patients is rare with very few reported cases in the literature. We present a case of Clostridium sporogenes bacteremia in an 81-year-old immunocompetent man with small bowel obstruction and hypoxemia during the COVID-19 pandemic. Routine monitoring of prognostic inflammatory markers for COVID-19 created a unique challenge in the management of our patient who developed sepsis with respiratory symptoms. Upon review, bacteremia from Clostridium sporogenes was associated with high mortality rates and could produce similar elevations in the inflammatory markers observed in COVID-19 pneumonia. Further, we reviewed the cognitive biases encountered when monitoring these inflammatory markers during the management of our patient with Clostridium sporogenes bacteremia, who was initially thought to have COVID-19 disease. While our patient ultimately tested negative for COVID-19, early administration of empiric antimicrobial therapy without source control failed to prevent clinical decompensation.http://dx.doi.org/10.1155/2020/8812635 |
| spellingShingle | Marc J. Vecchio Matthew Jankowich Hassan Qadir Melissa Gaitanis Anupama Menon Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction Case Reports in Infectious Diseases |
| title | Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction |
| title_full | Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction |
| title_fullStr | Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction |
| title_full_unstemmed | Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction |
| title_short | Cognitive Biases in the Era of COVID-19 : A Case of Clostridium sporogenes Bacteremia in a Patient with Small Bowel Obstruction |
| title_sort | cognitive biases in the era of covid 19 a case of clostridium sporogenes bacteremia in a patient with small bowel obstruction |
| url | http://dx.doi.org/10.1155/2020/8812635 |
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