55-284
Shock séptico asociado a gangrena gaseosa - Miositis necrotizante por Clostridum.
Septic shock associated with gas gangrene gaseosa - Clostridial Myonecrosis
CRIADO-ALBILLOS G, MARTÍN-RODRÍGUEZ ADP, MENDIETA-DIAZ L, MILLÁN CID M, DELGADO-GONZÁLEZ A COMPLEJO ASISTENCIAL UNIVERSITARIO DE BURGOS
Recepción:
13/04/2021
Aceptación:
13/04/2021
Publicación:
13/04/2021
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Resumen (ES)
Introduction: Gas gangrene, also known as clostridial myonecrosis, is an acute, potentially life-threatening infection of
muscular and soft tissues caused by pathogens in the Clostridium genus. Clinical case: We present the case of
spontaneous gas gangrene caused by C. Perfringens in a patient with no history of trauma. Discussion: The treatment of
gas gangrene consists of prompt surgical debridement combined with antibiotic therapy. Emergency surgical debridement
is especially important for patient survival, preserving the limb and preventing complications. If C. Perfringens is
confirmed, the antibiotic therapy should consist of penicillin (3-4 million units intravenously every 4h) with clindamycin (900
mg intravenously every 8h) or tetracycline (500 mg intravenously every 6h). Even when we encounter a patient with no
history of trauma, gastrointestinal pathology, neutropenia or immunodeficiencies, we should quickly suspect this diagnosis
when there is extreme pain in a limb, with or without fever. This suspicion is important due to the need for rapid and
aggressive treatment to save the limb and life of the patient and to prevent complications.
muscular and soft tissues caused by pathogens in the Clostridium genus. Clinical case: We present the case of
spontaneous gas gangrene caused by C. Perfringens in a patient with no history of trauma. Discussion: The treatment of
gas gangrene consists of prompt surgical debridement combined with antibiotic therapy. Emergency surgical debridement
is especially important for patient survival, preserving the limb and preventing complications. If C. Perfringens is
confirmed, the antibiotic therapy should consist of penicillin (3-4 million units intravenously every 4h) with clindamycin (900
mg intravenously every 8h) or tetracycline (500 mg intravenously every 6h). Even when we encounter a patient with no
history of trauma, gastrointestinal pathology, neutropenia or immunodeficiencies, we should quickly suspect this diagnosis
when there is extreme pain in a limb, with or without fever. This suspicion is important due to the need for rapid and
aggressive treatment to save the limb and life of the patient and to prevent complications.
Palabras clave (ES):
shock
gangrena
Clostridium
gaseosa
miositis
necrotizante
séptico
anaerobio
infección
de
blandas.
partes
Resumen (EN)
Introduction: Gas gangrene, also known as clostridial myonecrosis, is an acute, potentially life-threatening infection of
muscular and soft tissues caused by pathogens in the Clostridium genus. Clinical case: We present the case of
spontaneous gas gangrene caused by C. Perfringens in a patient with no history of trauma. Discussion: The treatment of
gas gangrene consists of prompt surgical debridement combined with antibiotic therapy. Emergency surgical debridement
is especially important for patient survival, preserving the limb and preventing complications. If C. Perfringens is
confirmed, the antibiotic therapy should consist of penicillin (3-4 million units intravenously every 4h) with clindamycin (900
mg intravenously every 8h) or tetracycline (500 mg intravenously every 6h). Even when we encounter a patient with no
history of trauma, gastrointestinal pathology, neutropenia or immunodeficiencies, we should quickly suspect this diagnosis
when there is extreme pain in a limb, with or without fever. This suspicion is important due to the need for rapid and
aggressive treatment to save the limb and life of the patient and to prevent complications.
muscular and soft tissues caused by pathogens in the Clostridium genus. Clinical case: We present the case of
spontaneous gas gangrene caused by C. Perfringens in a patient with no history of trauma. Discussion: The treatment of
gas gangrene consists of prompt surgical debridement combined with antibiotic therapy. Emergency surgical debridement
is especially important for patient survival, preserving the limb and preventing complications. If C. Perfringens is
confirmed, the antibiotic therapy should consist of penicillin (3-4 million units intravenously every 4h) with clindamycin (900
mg intravenously every 8h) or tetracycline (500 mg intravenously every 6h). Even when we encounter a patient with no
history of trauma, gastrointestinal pathology, neutropenia or immunodeficiencies, we should quickly suspect this diagnosis
when there is extreme pain in a limb, with or without fever. This suspicion is important due to the need for rapid and
aggressive treatment to save the limb and life of the patient and to prevent complications.
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