Evidence map›Paper›PMID 21726656›Full record

ArticleAnaerobe2011

Non-toxigenic Clostridium sordellii: clinical and microbiological features of a case of cholangitis-associated bacteremia.

Seth T Walk, Ruchika Jain, Itishree Trivedi, Sylvia Grossman, Duane W Newton, Tennille Thelen, Yibai Hao, J Glenn Songer, Glen P Carter, Dena Lyras and 2 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Anaerobe, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. FatalPathogens (Basel, Switzerland) · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Prevalence and Antimicrobial Resistance ofAntibiotics (Basel, Switzerland) · 2021
    Article
  6. Infective Endocarditis Caused byJournal of laboratory physicians · 2021
    Article
  7. mBio · 2018
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Clostridium difficile ribotype does not predict severe infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Seth T WalkThe Department of Internal Medicine, University of Michigan Health System, Ann Arbor, 48109, USA.
Ruchika Jain
Itishree Trivedi
Sylvia Grossman
Duane W Newton
Tennille Thelen
Yibai Hao
J Glenn Songer
Glen P Carter
Dena Lyras
Vincent B Young
David M Aronoff
Michigan Medicine · USUniversity of Michigan–Ann Arbor · USMonash University · AUIowa State University · US

Funding

MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
Role of misoprostol in Clostridium sordellii endometritis in a rodent modelR01HD057176 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ARONOFF, DAVID M · 2008 to 2012
$1.6M
Modulation of Lung Innate Immunity Prostaglandin E2K08HL078727 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ARONOFF, DAVID M · 2005 to 2009
$662k
NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986NHLBI NIH HHS HL078727NHLBI NIH HHS K08 HL078727NICHD NIH HHS R01 HD057176
6 · The paper itself

Abstract

Toxigenic Clostridium sordellii strains are increasingly recognized to cause highly lethal infections in humans that are typified by a toxic shock syndrome (TSS). Two glucosylating toxins, lethal toxin (TcsL) and hemorrhagic toxin (TcsH) are believed to be important in the pathogenesis of TSS. While non-toxigenic strains of C. sordellii demonstrate reduced cytotoxicity in vitro and lower virulence in animal models of infection, there are few data regarding their behavior in humans. Here we report a non-TSS C. sordellii infection in the context of a polymicrobial bacterial cholangitis. The C. sordellii strain associated with this infection did not carry either the TcsL-encoding tcsL gene or the tcsH gene for TcsH. In addition, the strain was neither cytotoxic in vitro nor lethal in a murine sepsis model. These results provide additional correlative evidence that TcsL and TcsH increase the risk of mortality during C. sordellii infections.

Indexed as

Aged, 80 and overAnimalsBacteremiaBacterial ToxinsCholangitisDisease Models, AnimalFemaleHumansMiceMice, Inbred C57BLParaclostridium sordelliiPeritonitisVirulenceBacterial Toxins

Identifiers

PMID21726656
PMCPMC3183353
OpenAlexW2036913855

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.