Clostridial phlegmona of the abdominal wall in an obese patient with Crohn’s disease

Česká verze

Authors: K. Chrz; R. Fraško
Authors place of work: 1. chirurgická klinika hrudní, břišní a úrazové chirurgie VFN ; Přednosta: prof. MUDr. Zdeněk Krška, DrSc. ; 1. lékařská fakulta Univerzity Karlovy
Published in the journal: Prakt. Lék. 2015; 95(1): 36-41
Category: Kazuistika

Summary

Clostridial infection represents a serious chapter in the field of surgery. Infections of soft tissue caused by clostridial infection often end in death despite the early diagnosis and appropriate treatment. Authors present a case history of a young overweight patient, immunologically compromised, after a recent biological treatment for Crohn’s disease. The patient developed extensive clostridial cellulitis of the abdominal wall as well as of the proximal part of her lower limb following a banal skin wound. Despite resuscitation and surgical care, the patient died. When treating soft tissue infections, it is particularly important to consider the possibility of an anaerobe infection.

Keywords:
clostridial cellulitis –⁠ gas gangrene –⁠ Clostridium ramosum –⁠ Clostridium tertium

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