Abstract
Introduction: Non-traumatic (spontaneous) gas gangrene is very rare and usually caused by clostridial organism in immune compromised patients. This case report presents a rare occurrence of this condition by non-clostridial organism in a patient with no known immune compromising status. Case Report: A 45-year-old male plumber presented with a three months history progressively worsening atraumatic right leg gas gangrene. Within 48 hours of admission, the infection ascended from the knee to the hip joint necessitating a hip disarticulation. Tissue culture yielded Klebsiella pneumoniae as the offending organism. Conclusion: Non-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals. Systemic manifestation of sepsis is delayed hence improving the chances of survival if identified early and prompt and appropriate antibiotic and surgical intervention is instituted.
Highlights
ConclusionNon-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals
Non-traumatic gas gangrene is very rare and usually caused by clostridial organism in immune compromised patients
Non-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals
Summary
Non-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals. Systemic manifestation of sepsis is delayed improving the chances of survival if identified early and prompt and appropriate antibiotic and surgical intervention is instituted. Olugboyega A Oyewole, Richard A Omoyeni, Ajibola Otegbeye, Tolulope O Ogunrewo, Mosimabale J Balogun Affiliations: 1MBChB, FWACS, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria; 2MBBS, FWACS, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria; 3MBBS, Department of Anaesthesia, University College Hospital, Ibadan, Oyo State, Nigeria. Corresponding Author: Dr Richard A Omoyeni, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria; Email: talktorichie@ yahoo.com. Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report.
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