Clinical Case Database / Category: Patient Management

Pneumothorax caused by Clostridium ramosum bacteraemia

Publication details

Ivan Tonna, MD, MRCPUK, MSc Infectious Diseases, FRCP (Edin), Kal Cave MBChB, MRCPUK, DTM&H
Foundation Years Journal, volume 9, issue 5, p.34 (123Doc Education, London, May 2015)


Here we will present and discuss the case of a 33 year old injecting drug user presenting with sepsis and left-sided pneumothorax. He had recently been investigated and treated for a proximal right leg deep venous thrombosis (DVT). He was subsequently found to have Clostridium ramosum bacteraemia secondary to the infected DVT with subsequent development of multiple large septic pulmonary emboli (PE) and left-sided pneumothorax.

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Ivan Tonna, MD, MRCPUK, MSc Infectious Diseases, FRCP (Edin)

Infectious Diseases Consultant
Ward 111, Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN

Kal Cave MBChB, MRCPUK, DTM&H (Corresponding author)

ST3 Infectious Diseases
Ward 111, Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN


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3. Stawicki SP, Firstenberg MS, Lyaker MR, et al. Septic embolism in the intensive care unit. Int J Crit Illn Inj Sci 2013, 3(1):58-63
4. British Thoracic Society. Management of Spontaneous pneumothorax
5. British Thoracic Society Standards of Care Committee. Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations. Thorax 2002, 57:289–304.
6. Merck Manual. Injection Drug Use


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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