Non-Clostridial Gas Infection

Brightmore, T. G. J.

doi:10.1177/003591577106401040

Cited by 8 publications

(8 citation statements)

References 4 publications

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“…Non-clostridial gas gangrene is a relatively rare entity and most of the reported cases are in diabetic patients with neurologic and vascular complications of their poorly controlled disease [1,2]. It is commoner than clostridial gas gangrene in diabetics and the diagnosis is often delayed or missed since unlike clostridial gas gangrene, the non-clostridial gas gangrene is of insidious onset, with minimal local signs and without systemic signs in the initial phase.…”

Section: Discussionmentioning

confidence: 99%

“…The commonly isolated organisms are aerobic Gramnegative bacilli Escherichia coli, Pseudomonas species and Klebsiella species, and more rarely anaerobic streptococcus and bacteroides [2,4,5].…”

Section: Discussionmentioning

confidence: 99%

“…Gas gangrene is a rare clinical entity mostly associated with trauma. Nontraumatic (spontaneous) gas gangrene is very rare and occurs usually in patients with immune depression [2] and is most commonly caused by clostridial organisms.…”

Section: Introductionmentioning

confidence: 99%

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Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report

Olugboyega¹,

Richard²,

Otegbeye³

et al. 2021

Int J Case Rep Images

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Introduction: Non-traumatic (spontaneous) gas gangrene is very rare and usually caused by clostridial organism in immune compromised patients. This case report presents a rare occurrence of this condition by non-clostridial organism in a patient with no known immune compromising status.Case Report: A 45-year-old male plumber presented with a three months history progressively worsening atraumatic right leg gas gangrene. Within 48 hours of admission, the infection ascended from the knee to the hip joint necessitating a hip disarticulation. Tissue culture yielded Klebsiella pneumoniae as the offending organism. Conclusion:Non-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals. Systemic manifestation of sepsis is delayed hence improving the chances of survival if identified early and prompt and appropriate antibiotic and surgical intervention is instituted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report

Olugboyega¹,

Richard²,

Otegbeye³

et al. 2021

Int J Case Rep Images

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“…Subcutaneous emphysema can be a nonspecific sign of rupture of a hollow organ [ 5 , 13 , 15 ]. Air formation can occur by way of two different mechanisms, either (1) due to the air gradient between the perforated organ with the persistent peristalsis and the subcutaneous tissues or (2) secondary to an infection by gas-forming bacteria, mainly Escherichia coli , Clostridium sporogenes , Enterobacter aerogenes , Klebsiella , and Proteus [ 5 , 16 , 17 ]. In some cases, perforation of the gastrointestinal tract may drain to the buttock, hip, thigh, or lower extremities or into the retroperitoneal space of the abdomen by dissecting along the anatomical planes [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature

Kuhn

Lekeufack

Chilcott

et al. 2018

Case Reports in Surgery

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The onset of colon diverticular disease is a frequent event, with a prevalence that increases with age. Amongst possible complications, free peritoneal perforation with abscess formation may occur. We herein describe two rare presentations of an extraperitoneal sigmoid diverticulum perforation. Our first patient, an 89-year-old female with no signs of distress, developed a subcutaneous abscess and emphysema in an incisional hernia following an appendectomy through a McBurney incision. The second patient, an 82-year-old female, was in general distress at the time of her admission and had a more advanced infection following the occurrence of a sigmoid perforation in a hernial sac. Complicated diverticulitis has a known course and evolution, but with an extraperitoneal presentation, this etiology is not expected. A computed tomography (CT) scan should be completed if the patient is hemodynamically stable, and wide debridement should be performed. Subcutaneous emphysema with an acute abdomen may be a sign of sigmoid perforation. Clinicians should keep this etiology in mind, regardless of the initial presentation.

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“…Gas-forming infection, whether clostridial or non-clostridial in origin, is serious and often life-threatening (Bessman & Wagner, 1975;Bird et al, 1977;Brightmore, 1971). The medical and surgical management of non-clostridial gas gangrene is significantly different from that of clostridial gas gangrene.…”

Section: Introductionmentioning

confidence: 99%

Fatal Morganella morganii bacteraemia in a diabetic patient with gas gangrene

Ghosh

Bal

Malik

et al. 2009

Journal of Medical Microbiology

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We report a case of a 60-year-old lady with a history of a heel ulcer that had not responded to antibiotic therapy. This progressed to involve the right leg, which was swollen and erythematous. Radiological imaging revealed the presence of gas within the fascial planes. Blood cultures on admission yielded Morganella morganii. Due to the extent of the gas gangrene and her comorbidities the patient was not suitable for surgical intervention and was treated conservatively with antibiotics. She deteriorated and died within 72 h of presentation. Non-clostridial gas gangrene is relatively rare, and diagnosis is frequently delayed and often missed. Early aggressive surgical intervention combined with appropriate antibiotic therapy is essential. Bacterial species other than Clostridium should be considered in all cases of gas gangrene.

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Non-Clostridial Gas Infection

Cited by 8 publications

References 4 publications

Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report

Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report

Subcutaneous Emphysema Caused by an Extraperitoneal Diverticulum Perforation: Description of Two Rare Cases and Review of the Literature

Fatal Morganella morganii bacteraemia in a diabetic patient with gas gangrene

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