Spontaneous clostridial myonecrosis.

Spontaneous clostridial myonecrosis (SCM) is an uncommon but frequently fatal tissue infection. The case report and review of the literature here provide some insight into the pathophysiology of this entity and clinical settings with which it is associated. It is hoped that this discussion will increase the reader's familiarity with SCM and provide clues that will lead to earlier diagnosis and more effective treatment.