Gas Gangrene in Orthopaedic Patients
Clostridial myonecrosis is most often seen in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. Since 1953 cases of gas gangrene have been reported in orthopaedic patients including open fractures, closed fractures, and orthopaedic surgeries. We present a ca...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/942076 |
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| author | Zhimin Ying Min Zhang Shigui Yan Zhong Zhu |
| author_facet | Zhimin Ying Min Zhang Shigui Yan Zhong Zhu |
| author_sort | Zhimin Ying |
| collection | DOAJ |
| description | Clostridial myonecrosis is most often seen in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. Since 1953 cases of gas gangrene have been reported in orthopaedic patients including open fractures, closed fractures, and orthopaedic surgeries. We present a case of 55-year-old obese woman who developed rapidly progressive gas gangrene in her right leg accompanied by tibial plateau fracture without skin lacerations. She was diagnosed with clostridial myonecrosis and above-the-knee amputation was carried out. This patient made full recovery within three weeks of the initial episode. We identified a total of 50 cases of gas gangrene in orthopaedic patients. Several factors, if available, were analyzed for each case: age, cause of injury, fracture location, pathogen, and outcome. Based on our case report and the literature review, emergency clinicians should be aware of this severe and potentially fatal infectious disease and should not delay treatment or prompt orthopedic surgery consultation. |
| format | Article |
| id | doaj-art-84eb84d24a61475188fe3682d6f7dec2 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-84eb84d24a61475188fe3682d6f7dec22025-02-03T01:03:13ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/942076942076Gas Gangrene in Orthopaedic PatientsZhimin Ying0Min Zhang1Shigui Yan2Zhong Zhu3Department of Orthopaedic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, Zhejiang 317000, ChinaTaizhou Hospital of Zhejiang Province, The Forth Affiliated Hospital of Wenzhou Medical University, No. 150 Ximen Road, Linhai, Zhejiang 317000, ChinaDepartment of Orthopaedic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, No. 88 Jiefang Road, Hangzhou, Zhejiang 317000, ChinaDepartment of Orthopaedic Surgery, Taizhou Hospital of Zhejiang Province, The Forth Affiliated Hospital of Wenzhou Medical University, No. 150 Ximen Road, Linhai, Zhejiang 317000, ChinaClostridial myonecrosis is most often seen in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. Since 1953 cases of gas gangrene have been reported in orthopaedic patients including open fractures, closed fractures, and orthopaedic surgeries. We present a case of 55-year-old obese woman who developed rapidly progressive gas gangrene in her right leg accompanied by tibial plateau fracture without skin lacerations. She was diagnosed with clostridial myonecrosis and above-the-knee amputation was carried out. This patient made full recovery within three weeks of the initial episode. We identified a total of 50 cases of gas gangrene in orthopaedic patients. Several factors, if available, were analyzed for each case: age, cause of injury, fracture location, pathogen, and outcome. Based on our case report and the literature review, emergency clinicians should be aware of this severe and potentially fatal infectious disease and should not delay treatment or prompt orthopedic surgery consultation.http://dx.doi.org/10.1155/2013/942076 |
| spellingShingle | Zhimin Ying Min Zhang Shigui Yan Zhong Zhu Gas Gangrene in Orthopaedic Patients Case Reports in Orthopedics |
| title | Gas Gangrene in Orthopaedic Patients |
| title_full | Gas Gangrene in Orthopaedic Patients |
| title_fullStr | Gas Gangrene in Orthopaedic Patients |
| title_full_unstemmed | Gas Gangrene in Orthopaedic Patients |
| title_short | Gas Gangrene in Orthopaedic Patients |
| title_sort | gas gangrene in orthopaedic patients |
| url | http://dx.doi.org/10.1155/2013/942076 |
| work_keys_str_mv | AT zhiminying gasgangreneinorthopaedicpatients AT minzhang gasgangreneinorthopaedicpatients AT shiguiyan gasgangreneinorthopaedicpatients AT zhongzhu gasgangreneinorthopaedicpatients |