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Brader R, Yu H. Percutaneous Decompression of Primary Hepatic Gas Gangrene Caused by Clostridium Perfringens. J Vasc Interv Radiol 2024; 35:325-327. [PMID: 37890555 DOI: 10.1016/j.jvir.2023.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 10/03/2023] [Accepted: 10/20/2023] [Indexed: 10/29/2023] Open
Affiliation(s)
- Rachel Brader
- Division of Vascular and Interventional Radiology, Department of Radiology, The University of North Carolina at Chapel Hill, 2016 Old Clinic, Campus Box 7510, Chapel Hill, NC 27599.
| | - Hyeon Yu
- Division of Vascular and Interventional Radiology, Department of Radiology, The University of North Carolina at Chapel Hill, 2016 Old Clinic, Campus Box 7510, Chapel Hill, NC 27599
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2
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Sharma P, Tanveer N, Dixit S. Histopathological features of gas gangrene. INDIAN J PATHOL MICR 2022; 65:211-212. [PMID: 35075001 DOI: 10.4103/ijpm.ijpm_1236_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023] Open
Affiliation(s)
- Pooja Sharma
- Department of Pathology, University College of Medical Sciences, Dilshad Garden, New Delhi, India
| | - Nadeem Tanveer
- Department of Pathology, University College of Medical Sciences, Dilshad Garden, New Delhi, India
| | - Sonali Dixit
- Department of Pathology, University College of Medical Sciences, Dilshad Garden, New Delhi, India
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3
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Savran MM, Thinggaard E, Nielsen-Breining M, Kirschner B. [Life-threatening intrauterine infection with Clostridium perfringens]. Ugeskr Laeger 2018; 180:V01180019. [PMID: 29984702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
In this case report, a 40-year-old woman with a history of a uterine leiomyoma presented with abdominal pain and fever. Initially, her symptoms were associated with a bleeding from an ovarian cyst seen on a CT scan of the abdomen showing free intraperitoneal fluid surrounding the internal genitals. Meanwhile, her blood cultures came out positive for Clostridium perfringens, and her condition deteriorated despite intravenous antibiotics. A new CT scan revealed intrauterine gas development. A laparotomy was performed with removal of the internal genitals, and the patient improved on continuous antibiotics.
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Kashiura M, Miyazaki K, Fujita H, Hamabe Y. Blackish haematuria and gas gangrene. Intensive Care Med 2016; 42:1498-9. [PMID: 27272762 DOI: 10.1007/s00134-016-4412-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Accepted: 05/28/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Masahiro Kashiura
- Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan.
| | - Kazuki Miyazaki
- Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan
| | - Hidenobu Fujita
- Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan
| | - Yuichi Hamabe
- Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan
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5
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Makarawo TP, Shea J, Smithson L. Necrotizing myonecrosis secondary to hematogenous spread of gas gangrene following colonic perforation. Int J Colorectal Dis 2016; 31:157-8. [PMID: 25787163 DOI: 10.1007/s00384-015-2185-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/08/2015] [Indexed: 02/04/2023]
Affiliation(s)
- Tafadzwa P Makarawo
- Department of Surgery, Providence Hospital and Medical Center, 16001 W Nine Mile Road, Southfield, MI, 48075, USA.
| | - John Shea
- Department of Surgery, Providence Hospital and Medical Center, 16001 W Nine Mile Road, Southfield, MI, 48075, USA
| | - Lauren Smithson
- Department of Surgery, Providence Hospital and Medical Center, 16001 W Nine Mile Road, Southfield, MI, 48075, USA
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Affiliation(s)
- T Takada
- Department of Emergency and Critical Care Medicine, Urasoe General Hospital, 1-16-4 Iso, Urasoe, Okinawa 901-2132, Japan
| | - A Kuriyama
- Department of General Medicine, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama 710-8602, Japan
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8
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Kawashima M, Hashimoto Y, Sudo T, Uemura K, Nakashima A, Sueda T, Murakami Y. A rare diagnostic challenge in acute appendicitis: a case report. Hiroshima J Med Sci 2012; 61:19-21. [PMID: 22702216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Although rare, acute appendicitis presenting as a remote abscess with cellulitis in the gluteal region, retroperitoneal region, groin, or thigh does occur and may present a diagnostic challenge. We report a case of a 78-year-old woman presenting with an extensive gas-forming abscess in the right gluteal region secondary to perforated appendicitis without significant gastrointestinal symptoms. Computed tomography (CT) demonstrated a retroperitoneal abscess extending along the sacropelvic surface of the ilium to the subcutaneous tissue. Subsequently, laparotomy revealed retrocecal appendicitis perforated at the base of the cecum, and contained in the retroperitoneum without any signs of peritonitis. This case not only represents an unusual manifestation of acute appendicitis, but also alerts us to the importance of anatomical considerations when interpreting disease extent with imaging. In the differential diagnosis of gluteal or upper thigh abscesses, the rare possibility of perforated acute appendicitis should be considered.
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Affiliation(s)
- Masumi Kawashima
- Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University Hiroshima 734-8551, Japan
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9
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Testa A, Giannuzzi R, de Gaetano Donati K, Gentiloni Silveri N. Fulminant endogenous gas gangrene: role of ultrasonography in the emergency setting. Am J Emerg Med 2010; 28:643.e1-3. [PMID: 20579573 DOI: 10.1016/j.ajem.2009.09.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2009] [Accepted: 09/04/2009] [Indexed: 11/19/2022] Open
Affiliation(s)
- Americo Testa
- Department of Emergency Medicine, A Gemelli University Hospital, 00168 Rome, Italy.
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10
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Kobayashi S, Negoro K, Uchida K, Kokubo Y, Takeno K, Yayama T, Katayama K, Yamaguchi A, Baba H. Successful treatment of nonclostridial gas gangrene extending from retroperitoneum to thigh associated with occult cecal cancer. J Orthop Sci 2007; 12:585-91. [PMID: 18040642 DOI: 10.1007/s00776-007-1172-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2007] [Accepted: 06/20/2007] [Indexed: 11/26/2022]
Affiliation(s)
- Shigeru Kobayashi
- Department of Orthopaedics, Fukui University School of Medicine, 23-3 Shimoaizuki, Matsuoka, Eiheiji, Fukui, 910-1193, Japan
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11
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Affiliation(s)
- D Nasr
- Service de chirurgie digestive, Hôpital des Chanaux - Mâcon, France.
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Affiliation(s)
- Johannes Hadem
- Department of Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Germany.
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Affiliation(s)
- Vinod K Panchbhavi
- University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0165, USA.
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15
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Momm F, Schäfer O, Henke M. Metastatic breast cancer causing gas gangrene. J Pain Symptom Manage 2006; 31:385. [PMID: 16716864 DOI: 10.1016/j.jpainsymman.2005.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2005] [Accepted: 09/27/2005] [Indexed: 10/24/2022]
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16
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Kvitting JPE, Sandström P, Thorelius L, Kullman E, Borch K, Svanvik J. Radiofrequency ablation of a liver metastasis complicated by extensive liver necrosis and sepsis caused by gas gangrene. Surgery 2006; 139:123-5. [PMID: 16364726 DOI: 10.1016/j.surg.2005.06.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2004] [Revised: 04/28/2005] [Accepted: 06/12/2005] [Indexed: 11/22/2022]
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17
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Affiliation(s)
- Juan F Alvarez-García
- Servicio de Medicina Interna, Hospital San Pedro de Alcántara, Complejo Hospitalario de Cáceres, Cáceres, Spain
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Abstract
Atraumatic infections due to Clostridium septicum are known to be associated with immunosuppression or even malignancy. In this case report, we present a patient with severe Clostridium septicum infection related to advanced colon cancer that had not previously been diagnosed. The case demonstrates the strong association between Clostridium septicum infections and malignancy, particularly in the presence of other predisposing diseases such as diabetes mellitus. It strongly suggests excluding malignant neoplasms, especially of the gastrointestinal tract, when severe Clostridium septicum infections occur. Moreover, if patients with known colorectal or other malignancy develop septicaemia or spontaneous gas gangrene, clinicians should be aware of Clostridium septicum as one of the main causative agents, as early diagnosis and aggressive treatment are important to improve prognosis.
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Affiliation(s)
- A Mischke
- Institut für Medizinische Mikrobiologie, Universitätsklinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main.
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19
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Kantarci F, Adaletli I, Yalcin G, Selcuk D, Kurugoglu S, Mihmanli I. Lower extremity arterial air embolism secondary to clostridial gas gangrene: diagnosis by Doppler sonography. J Ultrasound Med 2004; 23:1531-1534. [PMID: 15498922 DOI: 10.7863/jum.2004.23.11.1531] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Affiliation(s)
- Fatih Kantarci
- Department of Radiology, Istanbul University, Cerrahpasa Medical Faculty, Kocamustafapasa, 34300 Istanbul, Turkey
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Abstract
We report a case of extensive subcutaneous emphysema of the lower extremity mimicking gas gangrene following perforation of the rectum in a 38-yr-old man. Subcutaneous emphysema of the leg may rarely occur secondary to perforation of the gastrointestinal tract and has often created serious diagnostic problems and high mortality rates. Therefore, prompt diagnosis and aggressive treatment is imperative.
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Affiliation(s)
- Keun-Bae Lee
- Department of Orthopaedic Surgery, Chonnam National University School of Medicine, Gwangju, Korea.
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23
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Abstract
Certain strains of Escherichia coli have been shown to cause gas accumulation in--for example, emphysematous pyelonephritis. This paper describes a patient with intramyocardial air collections resulting from an intramyocardial infection with gas forming E coli.
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Affiliation(s)
- H J J van der Vliet
- Department of Internal Medicine, Vrije Universiteit Medical Centre, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
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24
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Abstract
Spontaneous gas gangrene of the pancreas, caused by an infection of Clostridium perfringens, is an extremely rare but severe form of acute pancreatitis. A 67-year-old man complaining of severe epigastric pain with diffuse guarding underwent an emergency laparotomy. During surgery, hemorrhagic pancreatic necrosis was observed with a large amount of peripancreatic gas. Cultures demonstrated C. perfringens. The identification of hemolysis and the accumulation of peripancreatic gas on computed tomography, which were both caused by an infection of C. perfringens, led us to make a diagnosis of clostridial infection of the pancreas.
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Affiliation(s)
- Toru Ikegami
- Department of Surgery, Hiroshima Red Cross and Atomic Bomb Survivors Hospital, Hiroshima 730-8619, Japan
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25
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Assadian O, Assadian A, Senekowitsch C, Makristathis A, Hagmüller G. Gas gangrene due toClostridium perfringens in two injecting drug users in Vienna, Austria. Wien Klin Wochenschr 2004; 116:264-7. [PMID: 15143867 DOI: 10.1007/bf03041058] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We describe two cases of severe myonecrotic infections caused by Clostridium perfringens in injecting drug users (IDUs) in Vienna, Austria. Clostridial myonecrosis, or gas gangrene, is a clostridial infection primarily of muscle tissue. C. perfringens is isolated in 90% of these infections. Other clostridial species isolated are C. novyi, C. septicum, C. histolyticum, C. fallax, and C. bifermentans. Classically, clostridial myonecrosis has an acute presentation and a fulminant clinical course. It is diagnosed mainly on a clinical basis. The infection may be so rapidly progressive that any delay in recognition or treatment may be fatal. The onset is sudden, often within 4 to 6 hours after an injury. An early clinical finding is sudden severe pain in the area of infection. Swelling and edema in the area of infection is pronounced. At surgery, the infected muscle is dark-red to black, is noncontractile, and does not bleed when cut. Crepitus, although not prominent, is sometimes detected. We were able to demonstrate spores that were morphologically indistinguishable from spores of C. perfringens in a drug sample obtained from case 2. General practitioners and accident and emergency staff should be aware of the possibility of C. perfringens infection in IDUs, especially if injection into soft tissue is suspected.
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Affiliation(s)
- Ojan Assadian
- Department of General and Vascular Surgery, Wilhelminenspital, Vienna, Austria.
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Abstract
Gas gangrene is a rare and rapidly progressive process with the propensity for devastating consequences. We report the first case of bilateral gas gangrene of the hand following bilateral middle phalangectomy of the middle fingers.
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Affiliation(s)
- R W Goyal
- Department of Orthopaedics, Royal Preston Hospital, Preston, UK.
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Shiina Y, Ii K, Iwanaga M. An Aeromonas veronii biovar sobria infection with disseminated intravascular gas production. J Infect Chemother 2004; 10:37-41. [PMID: 14991516 DOI: 10.1007/s10156-003-0274-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2003] [Accepted: 08/20/2003] [Indexed: 11/25/2022]
Abstract
We report a case of Aeromonas veronii biovar sobria infection with disseminated intravascular gas production. The patient was an afebrile 15-year-old girl who had been quite healthy until the onset of the illness. She came to the hospital because of a 6-h history of increasing pain and swelling in her left thigh. On admission, no infection was suspected, and a tentative diagnosis of a ruptured left gracilis muscle was made. Because the pain increased continuously, the treatment concentrated on pain control. Unexpectedly, abrupt death occurred 23 h after her admission. Postmortem computed tomographic (CT) scans showed an abundance of gas in the blood vessels of the entire body. Postmortem investigation revealed disseminated intravascular gas production, marked intravascular hemolysis, and numerous intravascular Gram-negative bacilli in all organs examined. The organisms were identified as A. veronii biovar sobria, and were highly susceptible to third-generation cephalosporins. Regarding therapeutic problems, the early administration of these antibiotics should reduce the fatality rate in such infections. It is critical to keep the possibility of such an infection in mind when a patient complains of severe muscle pain.
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Affiliation(s)
- Yukio Shiina
- Department of Orthopaedic Surgery, Okinawa Kyodo Hospital, Tomigusuku, Japan.
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Yasan H, Uygur K, Tüz M, Doğru H. [The adverse effect of gas formation on prognosis in a patient with deep neck infection]. Kulak Burun Bogaz Ihtis Derg 2003; 11:56-9. [PMID: 14699256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
A seventy-one-year-old woman was hospitalized with a suspicion of deep neck infection and poor general health. She had been receiving treatment for hepatitis, diabetes mellitus, and cardiac failure and had a history of tooth ache and severe neck pain lasting for the past 10 days. She had been admitted to another center where she had received antibiotic treatment for five days for widespread swelling in the neck and lower extremities, fatigue, and difficulty in breathing and swallowing. Upon admission, computed tomography showed gas formation in the neck and facial regions. Prompt abscess drainage was performed and intense treatment with antibiotics was continued. Despite all efforts, the patient died on the second day of hospitalization from cardiopulmonary arrest. This case emphasizes how urgent drainage is when gas formation is detected in deep neck infections, with inevitable poor prognosis with antibiotic treatment alone.
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Affiliation(s)
- Hasan Yasan
- Department of Otolaryngology, Medicine Faculty of Süleyman Demirel University, Isparta, Turkey.
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O'Rourke J, Fahy C, Donnelly M. Subcutaneous emphysema at the site of central line placement due to the haematogenous spread of Clostridium septicum. Eur J Anaesthesiol 2003; 20:162-3. [PMID: 12622503 DOI: 10.1017/s0265021503210309] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
Clostridial gas gangrene (myonecrosis) is a rapidly progressive, life-threatening infection. The occurrence of clostridial gas gangrene in the orbit is uncommon. We present a case of gas gangrene in the orbit of a child, with Clostridium perfringens isolated from the wound. Our patient was successfully treated with extensive surgical débridement, anti-microbial therapy, and hyperbaric oxygen therapy. Hyperbaric oxygen is established as an adjuvant therapy of clostridial gas gangrene and has been shown to significantly reduce morbidity and mortality. To our knowledge, this is the first reported case of using hyperbaric oxygen therapy in the treatment of orbital gas gangrene.
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Affiliation(s)
- B J Al Bahrani
- Medical Oncology Department, Cancer Therapy Centre, Liverpool Hospital, NSW
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33
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Abstract
Clostridium septicum gas gangrene (myonecrosis) is an acutely painful and rapidly fatal infection occurring in the absence of trauma. Urgent surgery is essential both to control pain and to ensure survival. Most patients who develop this infection have an underlying malignancy and clinicians should be aware of this association. We present a case of bifocal myonecrosis which to our knowledge has not been reported previously.
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Affiliation(s)
- R K Rai
- Monklands District General Hospital, Airdrie, Scotland
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35
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Affiliation(s)
- Y Ramkissoon
- Clinical Pharmacology Unit, Department of Medicine, Addenbrooke's Hospital, Cambridge, UK
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36
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Foga MM, McGinn GJ, Kroeker MA, Guzman R. Sepsis due to Clostridium septicum: case report. Can Assoc Radiol J 2000; 51:85-9. [PMID: 10786915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023] Open
Affiliation(s)
- M M Foga
- Department of Radiology, St. Boniface General Hospital, University of Manitoba Teaching Hospitals, Winnipeg
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37
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Affiliation(s)
- P S Chowdhury
- Department of Internal Medicine, Division of Cardiology, William Beaumont Hospital, Royal Oak, MI 48703-6769, USA
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38
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Farrow CS. Gas. Radiographic indicator of infection. Vet Clin North Am Food Anim Pract 1999; 15:253-64, vi. [PMID: 10442387 DOI: 10.1016/s0749-0720(15)30181-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Gas is probably the best single radiographic indicator of infection in cattle, especially in and around the digits. With high quality images and a high-intensity light, gas may be detected in small pockets within the soft tissues, effacing bone surfaces, or within joints. This article illustrates the varied radiographic appearances of gas associated with infection, and the radiographic projections that optimize its detection.
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Affiliation(s)
- C S Farrow
- Department of Veterinary Anesthesiology, Radiology, and Surgery, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada.
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Abstract
Clostridium meningitis is a rare complication of elective surgery, but the presence of pneumocephalus on CT in the absence of penetrating injuries, should raise the possibility of anaerobic infections. We report a case of fatal Clostridium perfringens meningitis which occurred 4 months after a craniotomy for glioblastoma multiforme. The diagnosis was suspected based on the CT findings. The literature of this rare condition is reviewed.
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Affiliation(s)
- A Penrose-Stevens
- Department of Neurosurgery, Morriston Hospital NHS Trust, Swansea, West Glamorgan, UK
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40
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Kloc W, Wasilewski W, Imieliński BL, Karwacki Z. [Epidural gas aggregation in the course of gaseous degeneration of lumbar intervertebral disk as a cause of foot paresis]. Neurol Neurochir Pol 1998; 32:699-704. [PMID: 9770706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
The finding of gas within the vertebral disc space ("vacuum phenomenon") is relatively common. Degenerative spine disease, gaseous degeneration of the intervertebral disc, and epidural gas were disclosed on imaging study. The epidural gas could be attributed to gaseous disc degeneration. The nerve root in presented patient was compressed by epidural gas. Following surgery the clinical syndrome including foot drop has thoroughly resolved.
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Affiliation(s)
- W Kloc
- Katedry i Kliniki Neurochirurgii AM w Gdańsku
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41
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Abstract
Mediastinitis caused by infection with Clostridium perfringens and spontaneous rupture of the esophagus are both life threatening conditions. The combination of these two entities led to septic multiorgan failure in a 38-year-old woman. The patient was treated successfully by esophagectomy and postoperative lavage through a partially open abdomen. The lack of information regarding emesis, the leading symptom of Boerhaave's syndrome, caused delayed diagnosis: the triad of emesis, severe epigastric pain and emphysema of the skin was not established until 30 h after the onset of symptoms.
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Affiliation(s)
- P Beckerhinn
- Chirurgische Abteilung, Krankenanstalt Rudolfstiftung, Wien
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42
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Affiliation(s)
- J A Spencer
- Department of Radiology, St. James's University Hospital, Leeds, UK
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43
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Chow E, Wong CS, Goldberg RE, Stern HS. Nontraumatic subcutaneous emphysema in association with rectal carcinoma. Can Assoc Radiol J 1996; 47:94-7. [PMID: 8612092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Nontraumatic subcutaneous emphysema is a rare complication of colorectal cancer. To the authors' knowledge, only eight cases have been reported to date. The initiating event was free colonic perforation in seven of the patients and contained colosubcutaneous fistula in the eighth. In nontraumatic subcutaneous emphysema typical fecal flora is cultured, whereas in nontraumatic gas gangrene, a different clinical entity that has a fulminant course, the bacteria are generally clostridial. The authors report a case of nontraumatic subcutaneous emphysema associated with rectal carcinoma and describe the associated computed tomography findings.
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Affiliation(s)
- E Chow
- Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ont
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44
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Affiliation(s)
- J Gliemroth
- Klinik für Neurochirurgie und Institut für Radiologie, Medizinischen Universität, Ratzebuger Allee 160, 23538 Lübeck, Germany
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45
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Gille-Johnson P. [Gangrene formation leading to fatal hemolysis]. Lakartidningen 1996; 93:686-9. [PMID: 8642943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Abstract
A case of gas gangrene complicating acute pancreatitis is presented. The presence of gas within the pancreatic bed is very suggestive of infection with gas forming organisms in the right clinical setting.
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Affiliation(s)
- M McCloskey
- Department of Radiology, Sir Charles Gairdner Hospital, Nedlands, Western Australia
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Rodriguez Higueras I, Arruego Minguillón MA, Gonzalez de Velasco Soleta JP, Bonet Saris A. Gas gangrene secondary to subcutaneous insulin injection. Am J Emerg Med 1996; 14:98-9. [PMID: 8630171 DOI: 10.1016/s0735-6757(96)90028-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
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48
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Affiliation(s)
- D M Kaplan
- Department of Otolaryngology-Head and Neck Surgery, Soroka Medical Center, Beer-Sheva, Israel
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Strohm WD, Römmele UE. [The value of ultrasound in detection of collected gas in the portal vein or hepatic veins]. Med Klin (Munich) 1994; 89:538-42. [PMID: 7808354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- W D Strohm
- Medizinische Klinik II, Städtisches Krankenhaus Heilbronn, Lehrkrankenhaus, Universität Heidelberg
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50
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Affiliation(s)
- R Sawhney
- Department of Radiology, Hartford Hospital, CT 06115-0729
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