30-178
Gangrena gaseosa: revisión de cuatro casos
Gaseous gangrene. Report on four cases
0. MONTERO, C. PÉREZ CID, J. L. VILLAR, S. MOSQUERA y II. R. FERNANDEZ Servicio de Traumatología y Cirugía Ortopédica del Hospital Sta. Mª. Madre, Orense.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
From January 1988 to December 1993, we have seen in our institution 6853
patients, 263 of them presented post-surgical, post-traumatic or spontaneus infections. Of the
total of infections, four of them were manifested as clinical cases of gaseous gangrene. The origin
was post-traumatic in three cases, and gun shot in one case, localizing the disease in all patients
in inferior extremities. For diagnosis clinical manifestations and the bacteriological and
patologic results were evaluated. The treatment consisted of early surgery, antibiotical therapy
and hiperbaric oxigenotherapy when it was necessary. The outcome was satisfactory in two cases
and non favorable in the other two patients.
patients, 263 of them presented post-surgical, post-traumatic or spontaneus infections. Of the
total of infections, four of them were manifested as clinical cases of gaseous gangrene. The origin
was post-traumatic in three cases, and gun shot in one case, localizing the disease in all patients
in inferior extremities. For diagnosis clinical manifestations and the bacteriological and
patologic results were evaluated. The treatment consisted of early surgery, antibiotical therapy
and hiperbaric oxigenotherapy when it was necessary. The outcome was satisfactory in two cases
and non favorable in the other two patients.
Palabras clave (ES):
Infección
Anaerobios
Gangrena
Gaseosa
Resumen (EN)
From January 1988 to December 1993, we have seen in our institution 6853
patients, 263 of them presented post-surgical, post-traumatic or spontaneus infections. Of the
total of infections, four of them were manifested as clinical cases of gaseous gangrene. The origin
was post-traumatic in three cases, and gun shot in one case, localizing the disease in all patients
in inferior extremities. For diagnosis clinical manifestations and the bacteriological and
patologic results were evaluated. The treatment consisted of early surgery, antibiotical therapy
and hiperbaric oxigenotherapy when it was necessary. The outcome was satisfactory in two cases
and non favorable in the other two patients.
patients, 263 of them presented post-surgical, post-traumatic or spontaneus infections. Of the
total of infections, four of them were manifested as clinical cases of gaseous gangrene. The origin
was post-traumatic in three cases, and gun shot in one case, localizing the disease in all patients
in inferior extremities. For diagnosis clinical manifestations and the bacteriological and
patologic results were evaluated. The treatment consisted of early surgery, antibiotical therapy
and hiperbaric oxigenotherapy when it was necessary. The outcome was satisfactory in two cases
and non favorable in the other two patients.
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