1. Fulminant Massive Gas Gangrene Caused by Clostridium perfringens
- Author
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Shoji Kuroda, Shigemitsu Ueyama, Ikuzo Fujii, Yumi Okada, Masaki Mita, Sumiharu Morita, Hirotaka Kato, Yasuaki Yoshida, and Yasuo Okamoto
- Subjects
Male ,medicine.medical_specialty ,Cirrhosis ,Clostridium perfringens ,Fulminant ,medicine.disease_cause ,Abdominal wall ,Liver Cirrhosis, Alcoholic ,Internal Medicine ,medicine ,Humans ,Retroperitoneal space ,Retroperitoneal Space ,Vein ,Portal Vein ,business.industry ,Abdominal Wall ,Rectum ,Colonoscopy ,General Medicine ,Middle Aged ,medicine.disease ,Antibodies, Bacterial ,Immunohistochemistry ,Surgery ,medicine.anatomical_structure ,Acute Disease ,Disease Progression ,Tomography, X-Ray Computed ,business ,Gas Gangrene ,Gas gangrene ,Subcutaneous tissue - Abstract
Clostridium perfringens (C.P) gas gangrene is one of the most fulminant infectious diseases. We encountered fulminant massive gas gangrene in a 56- year-old man with alcoholic liver cirrhosis. The patient died 14 hours after diagnosis of gas gangrene (54 hours after admission). Dramatic changes in abdominal CT imaging revealed development of a massive volume of gas in the intra-portal vein, retroperitoneum and abdominal subcutaneous tissue within 24 hours. We also proved C.P infection by immunohistological staining, leading to a diagnosis of C.P gas gangrene.
- Published
- 2005