{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T12:36:50Z","timestamp":1790339810311,"version":"4.1.0"},"reference-count":14,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Pathol"],"published-print":{"date-parts":[[1997,3]]},"abstract":"<jats:p>Clostridium sordellii is an infrequent human pathogen. It has been demonstrated to be occasionally responsible for myonecrosis or gas gangrene. Interestingly, in the obstetric literature, some cases of postpartum maternal deaths have been associated with C sordellii infection causing a rapidly lethal toxin mediated syndrome. This is the first reported case of postpartum death in a 29 year old woman, in which a toxigenic C sordellii was isolated from the patient's blood antemortem during the fatal toxic shock, strongly indicating its role in this rare syndrome.<\/jats:p>","DOI":"10.1136\/jcp.50.3.259","type":"journal-article","created":{"date-parts":[[2007,6,9]],"date-time":"2007-06-09T00:50:46Z","timestamp":1181350246000},"page":"259-260","source":"Crossref","is-referenced-by-count":42,"title":["A fatal postpartum Clostridium sordellii associated toxic shock syndrome."],"prefix":"10.1136","volume":"50","author":[{"given":"A","family":"Bitti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Mastrantonio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Spigaglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Urru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A I","family":"Spano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Moretti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G B","family":"Cherchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1997,3,1]]},"reference":[{"key":"ref_1","article-title":"Clostridia in gastrointestinal disease","author":"Borriello, S.P.","year":"1985","unstructured":"Borriello SP. Clostridia in gastrointestinal disease. Boca Raton: CRC Press, Inc, 1985."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/00006454-199303000-00020","article-title":"Neonatal Clostridium sordellii toxic omphalitis","volume":"12","author":"Adamkiewicz, T.V.; Goodman, D.; Burke, B.; Lyerly, D.M.; Goswitz, J.; Ferrieri, P.","year":"1993","unstructured":"Adamkiewicz TV, Goodman D, Burke B, Lyerly DM, Goswitz J, Ferrieri P. Neonatal Clostridium sordellii toxic omphalitis. Pediatr Infect Dis J 1993;12:253-7.","journal-title":"Pediatr Infect Dis J"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1099\/00222615-36-1-30","article-title":"Comparison of Clostridium sordellii toxins HT and LT with toxins A and B of C","volume":"36","author":"Martinez, R.D.; Wilkins, T.D.","year":"1992","unstructured":"Martinez RD, Wilkins TD. Comparison of Clostridium sordellii toxins HT and LT with toxins A and B of C. difficile. J Med Microbiol 1992;36:30-6.","journal-title":"difficile. J Med Microbiol"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/0002-9378(89)90768-0","article-title":"Maternal deaths associated with Clostridium sordellii infection","volume":"161","author":"McGregor, J.A.; Soper, D.E.; Lovell, G.; Todd, J.K.","year":"1989","unstructured":"McGregor JA, Soper DE, Lovell G, Todd JK. Maternal deaths associated with Clostridium sordellii infection. Am J Obstet Gynecol 1989;161:987-95.","journal-title":"Am J Obstet Gynecol"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1093\/ajcp\/91.1.104","article-title":"Fatal acute spontaneous endometritis resulting from Clostridium sordellii","volume":"91","author":"Hogan, S.F.; Ireland, K.","year":"1989","unstructured":"Hogan SF, Ireland K. Fatal acute spontaneous endometritis resulting from Clostridium sordellii. Am J Clin Pathol 1989;91:104-6.","journal-title":"Am J Clin Pathol"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1128\/JCM.32.2.539-542.1994","article-title":"Rapid assay for detection of toxic shock syndrome toxin 1 from human sera","volume":"32","author":"Miwa, K.; Fukuyama, M.; Kunitomo, T.; Igarashi, H.","year":"1994","unstructured":"Miwa K, Fukuyama M, Kunitomo T, Igarashi H. Rapid assay for detection of toxic shock syndrome toxin 1 from human sera. J Clin Microbiol 1994;32:539-42.","journal-title":"J Clin Microbiol"},{"key":"ref_7","first-page":"1116","article-title":"Toxic shock syndrome associated with phage-group-I staphylococci","volume":"ii:","author":"Todd, J.; Fishuat, M.; Kapral, F.; Welch, T.","year":"1978","unstructured":"Todd J, Fishuat M, Kapral F, Welch T Toxic shock syndrome associated with phage-group-I staphylococci. Lancet. 1978;ii: 1116-8.","journal-title":"Lancet"},{"key":"ref_8","article-title":"Wadsworth anaerobic bacteriology manual","author":"Summanen, P.; Baron, E.J.; Citron, D.M.; Strong, C.A.; Wexler, H.M.; Finegold, S.M.","year":"1993","unstructured":"Summanen P, Baron EJ, Citron DM, Strong CA, Wexler HM, Finegold SM. Wadsworth anaerobic bacteriology manual. Belmont: Star Publishing Company, 1993."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1111\/j.1348-0421.1984.tb00700.x","article-title":"Difference in susceptibility of various cell culture to cytotoxic culture filtrates of Clostridium sordellii","volume":"28","author":"Nakamura, S.; Ogura, H.; Tanaka, J.; Tanabe, N.; Yamakawa, K.; Hatano, M.","year":"1984","unstructured":"Nakamura S, Ogura H, Tanaka J, Tanabe N, Yamakawa K, Hatano M, et al. Difference in susceptibility of various cell culture to cytotoxic culture filtrates of Clostridium sordellii. Microbiol Immunol 1984;28:493-7.","journal-title":"Microbiol Immunol"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1099\/00222615-2-1-37","article-title":"The toxins responsible for the lesions of Clostridium sordellii gas gangrene","volume":"2","author":"Arseculeratne, S.N.; Panabokke, R.G.; Wijesundera, S.","year":"1969","unstructured":"Arseculeratne SN, Panabokke RG, Wijesundera S. The toxins responsible for the lesions of Clostridium sordellii gas gangrene. J Med Microbiol 1969;2:37-53.","journal-title":"J Med Microbiol"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1093\/clind\/15.6.950","article-title":"Clostridium sordellii bacteremia: case report and review","volume":"15","author":"Spera, R.V.; Mark, H.K.","year":"1992","unstructured":"Spera RV, Mark HK. Clostridium sordellii bacteremia: case report and review. Clin Infect Dis 1992;15:950-4.","journal-title":"Clin Infect Dis"},{"key":"ref_12","first-page":"6736","article-title":"Urease-negative strains of Clostridium sordellii","volume":"22","author":"Nakamura, S.; Shimamura, T.; Nishida, S.","year":"1976","unstructured":"Nakamura S, Shimamura T, Nishida S. Urease-negative strains of Clostridium sordellii. Can J Microbiol 1976;22:6736.","journal-title":"Can J Microbiol"},{"key":"ref_13","first-page":"345","article-title":"Antibacterial susceptibility of Clostridium sordellii strains","volume":"261","author":"Nakamura, S.; Yamakawa, K.; Nishida, S.","year":"1986","unstructured":"Nakamura S, Yamakawa K, Nishida S. Antibacterial susceptibility of Clostridium sordellii strains. Zentralbl Bakt Hyg 1986;261:345-9.","journal-title":"Zentralbl Bakt Hyg"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2984","DOI":"10.1128\/IAI.55.12.2984-2992.1987","article-title":"Immunization of adult hamsters against Clostridium difficile-associated ileocecitis and transfer of protection to infant hamster","volume":"55","author":"Kim, P.H.; Iaconis, J.P.; Rolfe, R.D.","year":"1987","unstructured":"Kim PH, Iaconis JP, Rolfe RD. Immunization of adult hamsters against Clostridium difficile-associated ileocecitis and transfer of protection to infant hamster. Infect Immun 1987; 55:2984-92.","journal-title":"Infect Immun"}],"container-title":["Journal of Clinical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jcp.50.3.259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:56:42Z","timestamp":1763747802000},"score":1,"resource":{"primary":{"URL":"https:\/\/jcp.bmj.com\/lookup\/doi\/10.1136\/jcp.50.3.259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,3]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[1997,3,1]]},"published-print":{"date-parts":[[1997,3]]}},"alternative-id":["10.1136\/jcp.50.3.259"],"URL":"https:\/\/doi.org\/10.1136\/jcp.50.3.259","relation":{},"ISSN":["0021-9746","1472-4146"],"issn-type":[{"value":"0021-9746","type":"print"},{"value":"1472-4146","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,3]]}}}