Surgical infections · 2004
Clostridium septicum bacteremia without gas gangrene as a late consequence of a contaminated wound.
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Woolley Ian J, Love Robert L, Street Alan C
Аннотация
BACKGROUND: Clostridium septicum is an unusual human pathogen associated with colorectal malignancy and gas gangrene.
METHODS: A case compilation and literature review are presented.
RESULTS: We report the case of an individual with a comminuted tibial fracture complicated by a superficial surgical site infection with C. septicum nine weeks after the original injury and internal fixation, which was complicated by a secondary bacteremia.
CONCLUSIONS: This is a unique case in the literature, but it is suggested that the use of cephalosporins as prophylaxis for contaminated wounds may be inferior to penicillins to prevent clostridial infections.
METHODS: A case compilation and literature review are presented.
RESULTS: We report the case of an individual with a comminuted tibial fracture complicated by a superficial surgical site infection with C. septicum nine weeks after the original injury and internal fixation, which was complicated by a secondary bacteremia.
CONCLUSIONS: This is a unique case in the literature, but it is suggested that the use of cephalosporins as prophylaxis for contaminated wounds may be inferior to penicillins to prevent clostridial infections.
Предметные рубрики MeSH
AdultAnti-Bacterial AgentsBacteremiaClostridiumClostridium InfectionsDrug Therapy, CombinationFibulaFollow-Up StudiesFracture Fixation, InternalGas GangreneHumansInfusions, IntravenousLeg InjuriesMaleMultiple TraumaRisk AssessmentSeverity of Illness IndexSurgical Wound InfectionTibial FracturesTreatment Outcome