The Unusual Presence of Gas From a Puncture Wound: A Case Report
| Autor: | John A. Martucci, Eric J. Roberts, Daniel Wu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Radiography Wounds Penetrating Physical examination 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Foot Injuries Gangrene Puncture Wound Crepitus medicine.diagnostic_test business.industry Soft tissue Magnetic resonance imaging Hydrogen Peroxide Middle Aged medicine.disease Subcutaneous Emphysema Surgery Anti-Infective Agents Local Female medicine.symptom business Gas gangrene |
| Zdroj: | The Journal of Foot and Ankle Surgery. 57:785-789 |
| ISSN: | 1067-2516 |
| DOI: | 10.1053/j.jfas.2017.11.003 |
| Popis: | The presence of gas within soft tissues as suggested by plain film radiographs and magnetic resonance imaging is usually sufficient evidence for a gas-producing bacterial infection. A thorough clinical examination and history and tissue culture are necessary to better determine the source of the gas. However, despite the unremarkable physical examination findings, the present case of a plantar puncture wound rapidly developed gas in the tissues and warranted surgical exploration and repair. Delaying treatment in any case of potential gas gangrene can be limb- and life-threatening. Only later was it revealed by the patient's husband that the wound might have been contaminated soon after the injury from a source other than the puncture, which led to the early presentation of gas on the imaging studies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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