{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:37:28Z","timestamp":1791383848046,"version":"4.3.3"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      Few cases have reported\n                      <jats:italic toggle=\"yes\">Clostridium<\/jats:italic>\n                      species of bacteria as a source for vertebral osteomyelitis and epidural abscesses. The subspecies of\n                      <jats:italic toggle=\"yes\">Clostridium septicum<\/jats:italic>\n                      has not been described as a cause. This case describes a 69-year-old man who hematogenously spread\n                      <jats:italic toggle=\"yes\">C. septicum<\/jats:italic>\n                      without associated malignancy, subsequently failed conservative management in the form of intravenous antibiotics, and was definitively treated with surgical intervention through a minimally invasive approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      An epidural abscess occurring in a surgically naive patient is a rare phenomenon. An epidural abscess caused by\n                      <jats:italic toggle=\"yes\">C. septicum<\/jats:italic>\n                      is even rarer. Appropriate imaging, early recognition, and surgical debridement can lead to a favorable outcome.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00282","type":"journal-article","created":{"date-parts":[[2019,11,4]],"date-time":"2019-11-04T14:39:56Z","timestamp":1572878396000},"page":"e0282-e0282","source":"Crossref","is-referenced-by-count":4,"title":["Epidural Abscess Caused by Gas-Producing Clostridium Septicum"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2621-2090","authenticated-orcid":false,"given":"Adam J.","family":"Money","sequence":"first","affiliation":[{"name":"Prisma Health Spine Center. University of South Carolina School of Medicine, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-5096","authenticated-orcid":false,"given":"Seth","family":"Molloy","sequence":"additional","affiliation":[{"name":"Prisma Health Spine Center. University of South Carolina School of Medicine, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5018-1183","authenticated-orcid":false,"given":"Gregory","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Prisma Health Spine Center. University of South Carolina School of Medicine, Columbia, South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"key":"bib1-20230811","first-page":"694247","article-title":"Clostridium septicum gas gangrene in colon cancer: importance of early diagnosis","volume":"2015","author":"Nanjappa","year":"2015","journal-title":"Case Rep Infect Dis."},{"issue":"1","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5435\/JAAOS-D-13-00102","article-title":"Bacterial spine infections in adults: evaluation and management","volume":"24","author":"Cornett","year":"2016","journal-title":"J Am Acad Orthop Surg."},{"key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/S0363-5023(85)80123-4","article-title":"Metastatic nontraumatic. 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