{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T03:01:21Z","timestamp":1780023681817,"version":"3.53.1"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T00:00:00Z","timestamp":1764201600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Clostridium sordellii<\/jats:italic>\n                      infections are rare and highly lethal. They are most associated with medical abortions and other genitourinary procedures. We report a fatal case of\n                      <jats:italic toggle=\"yes\">C. sordellii<\/jats:italic>\n                      bacteremia from a perforated low rectal cancer with rectovaginal fistula.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>\n                      A 60-year-old female presented with 10 days of abdominal pain, loose stools, and hematochezia. She developed rapidly progressive septic shock. Imaging identified a perforated rectal mass, pneumovagina, and a large pelvic abscess. She underwent fecal diversion and drainage of the pelvic abscess. Despite this intervention, she had refractory septic shock with multisystem organ failure resulting in death. Blood cultures grew\n                      <jats:italic toggle=\"yes\">C. sordellii<\/jats:italic>\n                      post-mortem.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">C. sordellii<\/jats:italic>\n                      infections are often fatal if not treated immediately. Clinicians must have a high index of suspicion in rectal cancer with associated gynecological involvement.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10962964251403444","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T03:22:46Z","timestamp":1764732166000},"page":"392-394","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fatal Toxic Shock Syndrome Resulting from\n                    <i>Clostridium sordellii<\/i>\n                    Bacteremia after Perforation of a Low Rectal Cancer"],"prefix":"10.1177","volume":"27","author":[{"given":"Alyssa","family":"Fesmire","sequence":"first","affiliation":[{"name":"Department of Surgery, Saint Luke\u2019s Hospital of Kansas City, Kansas City, Missouri, USA."},{"name":"Department of Surgery, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Bassett","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Nix","sequence":"additional","affiliation":[{"name":"Advent Health South Overland Park, Overland Park, Kansas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Benedict","sequence":"additional","affiliation":[{"name":"Department of Surgery, Saint Luke\u2019s Hospital of Kansas City, Kansas City, Missouri, USA."},{"name":"Department of Surgery, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1086\/508895"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1086\/508866"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(09)70303-2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2011.060"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ico.0000116528.57227.2f"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.11.007"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2018.30.118.14156"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1G189"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2016-215240"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-008-8192-y"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001239"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-4453(99)90083-X"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.31.2.213"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.2353\/ajpath.2007.060583"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00933-11"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1723750"}],"container-title":["Surgical Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10962964251403444","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10962964251403444","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10962964251403444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T02:01:51Z","timestamp":1780020111000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10962964251403444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,27]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,6,1]]}},"alternative-id":["10.1177\/10962964251403444"],"URL":"https:\/\/doi.org\/10.1177\/10962964251403444","relation":{},"ISSN":["1096-2964","1557-8674"],"issn-type":[{"value":"1096-2964","type":"print"},{"value":"1557-8674","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,27]]}}}