The Incidence and Significance of Gas Gangrene in a Diabetic Population

Kahn, Otto Hermann

doi:10.1177/000331977402500706

Cited by 7 publications

(1 citation statement)

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“…Gas gangrene can be classified as posttraumatic (60%), postoperative (after gastrointestinal surgeries and backstreet abortions), and spontaneous (in patients with underlying malignancies, diabetics, and in those with neutropenia). [12][13][14][15][16] The classic features of gas gangrene include pain and fever out of proportion to the initial presentation in a mentally alert person. The classic musky odor, the presence of mottled hemorrhagic skin with blebs and bullae, and crepitus, are seen later.…”

Section: Clinical Featuresmentioning

confidence: 99%

Civilian Gas Gangrene: A Clinical Challenge

Rekha

Gopalan

2007

The International Journal of Lower Extremity Wounds

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Gas gangrene due to clostridia infections is commonly seen in war injuries and is much less commonly seen in civilian life. When such problems do occur, they present a challenge to the surgeon due to the associated high morbidity and mortality associated. A case is presented where a patient developed gas gangrene in a limb consequent to trauma that had been treated surgically. It is vital to make a correct diagnosis at the earliest to limit disease progression and to avoid complications.

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Section: Clinical Featuresmentioning

confidence: 99%

Civilian Gas Gangrene: A Clinical Challenge

Rekha

Gopalan

2007

The International Journal of Lower Extremity Wounds

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Gas gangrene and related infection: Classification, clinical features and aetiology, management and mortality. A report of 88 cases

Darke

King

Slack

1977

British Journal of Surgery

107

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The clinical features of gas gangrene and related infection seen in 88 patients over a 10-year period are described. It is suggested that clostridial infection could be simply classified as either 'gas-forming' or 'non-gas-forming'. The gas-forming group represents the more severe form of infection. Non-clostridial gas gangrene may present in a variety of forms. The anaerobic streptococcus was the organism most frequently responsible, but these cases were indistinguishable from clostridial infection on clinical grounds. The treatment of gas gangrene in this series of patients is reported. Emphasis is laid on the importance of adequate prophylaxis with penicillin in patients at risk. The value of antibiotics in established infection remains equivocal. The evidence supporting the value of hyperbaric oxygen therapy is assessed and an attempt made to quantify the response to this treatment. Benefit was apparent in only a proportion of patients. A favourable response indicated clostridial infection and guaranteed immediate survival. Extensive debridement or amputation is unnecessary in this group. No response following hyperbaric oxygen therapy indicated widespread mixed clostridial and non-clostridial infection, or infection due to organisms other than clostridia. Urgent and extensive debridement and amputation remain the predominant measures in this group.

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Diabetic osteoarthropathy

Forgács¹

1982

Bones and Joints in Diabetes Mellitus

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The Incidence and Significance of Gas Gangrene in a Diabetic Population

Cited by 7 publications

References 1 publication

Civilian Gas Gangrene: A Clinical Challenge

Civilian Gas Gangrene: A Clinical Challenge

Gas gangrene and related infection: Classification, clinical features and aetiology, management and mortality. A report of 88 cases

Diabetic osteoarthropathy

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