Limb salvage after gas gangrene: a case report and review of the literature

被引:12
作者
Aggelidakis, John [1 ]
Lasithiotakis, Konstantinos [2 ]
Topalidou, Anastasia [1 ,3 ]
Koutroumpas, John [1 ]
Kouvidis, Georgios [1 ]
Katonis, Paulos [1 ]
机构
[1] Univ Hosp Heraklion, Dept Orthopaed Traumatol, Iraklion 71100, Greece
[2] Univ Hosp Heraklion, Dept Gen Surg, Iraklion 71100, Greece
[3] Alexander S Onassis Publ Benefit Fdn, Iraklion 71100, Greece
关键词
Limb Salvage; Hyperbaric Oxygen Therapy; Illicit Drug User; Salvage Index; Necrotic Infection;
D O I
10.1186/1749-7922-6-28
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Gas gangrene is a necrotic infection of soft tissue associated with high mortality, often necessitating amputation in order to control the infection. Herein we present a case of gas gangrene of the arm in an intravenous drug user with a history of intramuscular injections with normal saline in the shoulder used to provoke pain for recovery after drug induced coma. The patient was early treated with surgery and antibiotics rendering possible the preservation of the limb and some of its function. Additionally, a review of the literature regarding case reports of limb salvage after gas gangrene is presented.
引用
收藏
页数:7
相关论文
共 24 条
[11]  
Heck R, 2008, CAMPBELLS OPERATIVE, V1, P562
[12]  
HOFFMAN S, 1971, B NEW YORK ACAD MED, V47, P40
[13]   GAS-GANGRENE IN A DIABETIC AFTER INTRAMUSCULAR INJECTION [J].
KERSHAW, CJ ;
BULSTRODE, CJK .
POSTGRADUATE MEDICAL JOURNAL, 1988, 64 (756) :812-813
[14]   Spontaneous clostridium perfringens myonecrosis of the shoulder - A case report [J].
Laming, Brent ;
Athwal, George S. ;
Naudie, Douglas D. R. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2007, (461) :20-24
[15]   MALIGNANCY, MORTALITY, AND MEDICOSURGICAL MANAGEMENT OF CLOSTRIDIUM-SEPTICUM INFECTION [J].
LARSON, CM ;
BUBRICK, MP ;
JACOBS, DM ;
WEST, MA .
SURGERY, 1995, 118 (04) :592-598
[16]   GAS-GANGRENE - OVERWHELMING INFECTION RESPONSIVE TO SURGICAL AND MEDICAL-TREATMENT [J].
LEHNER, PJ ;
POWELL, H .
BRITISH MEDICAL JOURNAL, 1991, 303 (6796) :240-242
[17]  
Lorea Patrick, 2004, Ann Chir Plast Esthet, V49, P32, DOI 10.1016/j.anplas.2003.12.010
[18]  
McNae J, 1966, J Bone Joint Surg Br, V48, P512
[19]  
MERCER N, 1991, BRIT MED J, V303, P854, DOI 10.1136/bmj.303.6806.854-b
[20]  
Norrby-Teglund A, 2005, SCAND J INFECT DIS, V37, P166, DOI 10.1080/00365540410020866