GAS-GANGRENE FROM SUBCUTANEOUS INSULIN ADMINISTRATION

被引：26
作者：
CHIN, RL
MARTINEZ, R
GARMEL, G
机构：
[1] Stanford/Kaiser Emergency Medicine Residency Program, Palo Alto, CA
[2] the Division of Emergency Medicine, Stanford University Hospital, Palo Alto, CA
来源：
AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1993年 / 11卷 / 06期
关键词：
CLOSTRIDIUM-SEPTICUM; SUBCUTANEOUS INSULIN; IMMUNOCOMPROMISED HOST;
D O I：
10.1016/0735-6757(93)90018-7
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
A case of gas gangrene that caused intractable shoulder pain refractory to narcotics in an immunocompromised host is presented. Gas gangrene has been associated with severe trauma involving penetrating wounds, compound fractures, extensive soft-tissue injury, intramuscular injection of epinephrine, and interruption of arterial blood supply. This case describes an elderly insulin-dependent diabetic woman who developed gas gangrene in her arm and leg at the site of her subcutaneous insulin injections. The responsible organism was Clostridium septicum. Emergency medicine physicians must consider gas gangrene Clostridium infection in immunocompromised individuals without evidence of trauma who present with localized and intractable pain. © 1993.
引用
收藏
页码：622 / 625
页数：4
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