Clostridial myonecrosis of the abdominal wall – case report
Authors:
S. Látrová 1; R. Čáp 2,1; Z. Šubrt 2,1
Authors place of work:
Chirurgická klinika, Fakultní nemocnice Hradec Králové, přednosta: Prof. MUDr. A. Ferko, CSc.
1; Katedra válečné chirurgie, Fakulta vojenského zdravotnictví Univerzity obrany, Hradec Králové
vedoucí katedry: Plk. doc. MUDr. J. Páral, Ph. D.
2
Published in the journal:
Rozhl. Chir., 2014, roč. 93, č. 6, s. 328-330.
Category:
Case Report
Summary
The authors present a case report of a forty-five-year-old patient operated on for acute appendicitis who developed gas gangrene of the abdominal wall within 48 hours after an appendectomy and subsequently also clostridial sepsis. Due to early diagnosis and intensive care, the patient survived. Clostridial myonecrosis is a rare complication after abdominal surgery and may be fatal in many cases. In our literature, there are only a few publications describing cases of patients who survived this rare postoperative complication.
Key words:
clostridial sepsis – gas gangrene of the abdominal wall – appendectomy
Zdroje
1. Bryant AE, Stevens DL. Clostridial myonecrosis: new insights in pathogenesis and management. Curr Infect Dis Rep 2010;12: 383–391.
2. Brabencová S, Juránková J. Diagnostika Clostridium difficile a jeho výskyt ve FN Brno [on line] 2011. Dostupný z www: <http://is.muni.cz/th/258751/lf_b/diagnostika_clostridium_difficile_a_jeho_vyskyt_ve_fn_brno.pdf>
3. Revis DR Jr. Clostridial gas gangréně. [on line] 2004-03-03. Dostupný z www: <http://www.emedicine.com/med/topic394.htm>
4. Plíšek S, Dostál V. Anaerobní infekce. Zdrav Nov 2004;14:26.
5. Lochman P, Kabeláč K, Pospíšil I, Dobeš D, Čáp R. Klostridiová sepse a plynatá sněť břišní stěny po cholecystektomii. Čas Lék Čes 2007;146:614–616.
6. Simon TG, Bradley J, Jones A, Carino G. Massive intravascular hemolysis from Clostridium perfringens septicemia. J Intensive Care Med 2013, Published online before print September 9, 2013, doi: 10.1177/0885066613498043.
7. Mergancová J, Schejbalová J, Pur E, Neubauer J. Klostridiová sepse po arteficiální obliteraci ledvinných tepen. Čas Lék Čes 1985;124:1370–1373.
8. Vyhnánek F, Beneš J. Standard léčebného postupu, Plynatá sněť [on line]. Dostupný z www:
<http://www.infekce.cz/Standardy/PlynataSnetDP.pdf>
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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