Rare postoperative complication: Clostridium perfringens septic shock following elective abdominal surgery
| Autor: | Khalid Canna, Mark McKelvie, Michael F. Bath |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty Clostridium perfringens medicine.medical_treatment 030106 microbiology medicine.disease_cause 03 medical and health sciences Postoperative Complications Rare Disease Medicine Humans Colectomy Aged 80 and over Cross Infection business.industry Septic shock Rectal Neoplasms Postoperative complication General Medicine Bowel resection Perioperative medicine.disease Shock Septic Surgery Elective Surgical Procedures Anesthesia Clostridium Infections business Gas gangrene Rare disease Abdominal surgery |
| Popis: | Postoperative infections are one of the most common complications in general surgery, and while rates have reduced with the routine administration of perioperative antibiotics, around 5% of patients undergoing a surgical procedure will develop an infective complication.(1) The Gram-positive, obligate anaerobe, Clostridium perfringens, is a well-known pathogen that forms part of both the environmental and gastrointestinal flora.(2) While more commonly associated with food poisoning, anaerobic cellulitis and traumatic gas gangrene, rare cases of spontaneous non-traumatic gas gangrene of abdominal viscera have also been recorded.(3) Although potentially treatable with appropriate antibiotic cover, cases of C. perfringens can rapidly progress into fulminant and fatal sepsis.(4) Moreover, the timing of symptom onset postoperatively can vary significantly, reports ranging from hours to days.(5 6) We report a case of C. perfringens-induced septic shock following elective bowel resection. |
| Databáze: | OpenAIRE |
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