Author:
Aggelidakis John,Lasithiotakis Konstantinos,Topalidou Anastasia,Koutroumpas John,Kouvidis Georgios,Katonis Paulos
Abstract
Abstract
Gas gangrene is a necrotic infection of soft tissue associated with high mortality, often necessitating amputation in order to control the infection. Herein we present a case of gas gangrene of the arm in an intravenous drug user with a history of intramuscular injections with normal saline in the shoulder used to provoke pain for recovery after drug induced coma. The patient was early treated with surgery and antibiotics rendering possible the preservation of the limb and some of its function. Additionally, a review of the literature regarding case reports of limb salvage after gas gangrene is presented.
Publisher
Springer Science and Business Media LLC
Subject
Emergency Medicine,Surgery
Reference24 articles.
1. Bryant AE, Stevens DL: Clostridial myonecrosis: new insights in pathogenesis and management. Curr Infect Dis Rep. 2010, 12 (5): 383-91. 10.1007/s11908-010-0127-y.
2. Bryan C: Gangrene bug killed 35 heroin users. WJM. 2000, 173: 82-83. 10.1136/ewjm.173.2.82.
3. Stevens : Clostridial Myonecrosis and other Clostridial Diseases. Cecil Textbook of Medicine. Edited by: L Goldman, JC Bennett. 2000, Philadelphia: WB Saunders, chapter 334: 1668-1673. 21
4. Kershaw CJ, Bulstrode CJ: Gas gangrene in a diabetic after intramuscular injection. Postgrad Med J. 1988, 64: 812-3. 10.1136/pgmj.64.756.812.
5. Lanting B, Athwal GS, Naudie DD: Spontaneous Clostridium perfringens myonecrosis of the shoulder: a case report. Clin Orthop Relat Res. 2007, 461: 20-4.
Cited by
21 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献