期刊
INTERNAL MEDICINE
卷 44, 期 5, 页码 499-502出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.44.499
关键词
gas gangrene; Clostridium perfringens; anti-Clostridium perfringens enterotoxinA polyclonal antibody
Clostridium perfringens (CP) gas gangrene is one of the most fulminant infectious diseases. We encountered fulminant massive gas gangrene in a 56- year-old man with alcoholic liver cirrhosis. The patient died 14 hours after diagnosis of gas gangrene (54 hours after admission). Dramatic changes in abdominal CT imaging revealed development of a massive volume of gas in the intra-portal vein, retroperitoneum and abdominal subcutaneous tissue within 24 hours. We also proved C.P infection by immunohistological staining, leading to a diagnosis of C.P gas gangrene.
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