2013, Number 2
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Medisur 2013; 11 (2)
Clostridial myonecrosis. A Case Report
Pérez ML, Quintana HH, Barletta CJE
Language: Spanish
References: 6
Page: 212-215
PDF size: 130.86 Kb.
ABSTRACT
Clostridium perfringens is an anaerobic
Gram-positive bacillus with spore-forming ability. It
is one of the most widely distributed bacterial
pathogens in the environment. A case report of a
female patient who had an accident with an
agricultural implement, suffering proximal third tibial
fracture with loss of the continuity of the bone in the
right leg is presented. She underwent surgery and
antibiotic therapy. Two days after being discharged,
the patient came back complaining of acute pain
and foul-smelling discharge in the surgical wound
site. She was hospitalized with diagnostic impression
of surgical wound sepsis caused by gas-producing
germ. Gas gangrene was diagnosed, resulting in
member amputation.
Clostridium perfringens was
isolated from the wound. Because of the importance
of taking into account this possibility of infection in
wounds caused by instruments potentially
contaminated with environmental germs, it was
decided to report this case.
REFERENCES
Miranda C, Rojo MD. Clostridium perfringens: Infecciones de piel y tejidos blandos [Internet]. Granada: Hospital Universitario Virgen de las Nieves; 2010. [ cited 23 Ene 2011 ] Available from: http://www.seimc.org/control/revisiones/bacteriol ogia/Clostper.pdf.
Morris WE, Fernández-Miyakawa ME. Toxinas de Clostridium perfringens. Revista Argentina de Microbiología. 2009 ; 41 (4): 251-60.
Suárez Lescay C, Infante Carbonell MC. Mionecrosis por clostridio: una enfermedad de todos los tiempos. MEDISAN [revista en Internet]. 2011 [ cited 23 Feb 2012 ] ; 15 (1): [aprox. 18p]. Available from: http://scielo.sld.cu/scielo.php?pid=S1029-301920 11000100016&script=sci_arttext.
Gegúndez Gómez C, Monjero Ares MI, Cao Pena J, Costa Buján JA, Conde Vales J, Arija Val JF. Mionecrosis por Clostridium como complicación de hernioplastia inguinal. Cir Esp. 2007 ; 81 (2): 99-101.
Barberán J. Tratamiento oral hospitalario de las infecciones de la piel y los tejidos blandos. Revista Española de Quimioterapia [revista en Internet]. 2002 [ cited 23 Ene 2011 ] ; 15 (2): [aprox. 10p]. Available from: http://www.seq.es/seq/html/revista_seq/0202/rev 2/rev2.html.
Leiva Sánchez E. Clostridios. In: Llop Hernández A, Valdés-Dapena Vivanco M, Zuazo Silva JL. Microbiología y Parasitología Médicas. T I. La Habana: ECIMED; 2009. p. 205-15.