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Clostridium perfringens in gas gangrene: Still a smoked gun!

Authors
  • Preseau, Thierry1
  • Deviendt, Jacques2
  • Duttman, Ruth3
  • Attou, Rachid2
  • Franck, Diane4
  • Claeys, Ruben4
  • Honoré, Patrick M.2
  • Bels, David De2
  • 1 Emergency Department, Brugmann University Hospital, Belgium , (Belgium)
  • 2 Intensive care Departement, Brugmann University Hospital, Belgium , (Belgium)
  • 3 Pathology Department, Brugmann University Hospital, Belgium , (Belgium)
  • 4 Surgery Department, Brugmann University Hospital, Belgium , (Belgium)
Type
Published Article
Journal
Journal of Translational Internal Medicine
Publisher
Sciendo
Publication Date
May 09, 2020
Volume
8
Issue
1
Pages
54–56
Identifiers
DOI: 10.2478/jtim-2020-0009
Source
De Gruyter
Keywords
License
Green

Abstract

Gas gangrene (GG) remains a life-threatening and deadly disease. Early recognition together with daily surgical debridement remains the mainstay of therapy. We sought to describe a fatal case of necrotizing soft tissue infection, which was a gas gagrene in this case. This case was remarkable as two main sites were infected simultaneously in geographical zones very far from each other making dissemination between both sites almost impossible. The other particularity was the fact that the infection was caused at the same time by four different bacteria that is atypical in GG similar to that in streptoccocal necrotizing fasciitis where one bacteria is the causative agent (Clostridium perfringens for GG and group A streptococcus for necrotizing fasciitis).

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