Clostridium septicum gas gangrene of the gluteus maximus and an ascending colon malignant tumor. A case report

Clostridial myonecrosis is a complication associated with contaminated traumatized wounds. Presented is the case of an elderly female with pain in her right hip, radiographic evidence of gas in the soft tissues, and no history of trauma. Evaluation of this patient revealed Clostridial myonecrosis. C...

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Bibliographic Details
Published inClinical orthopaedics and related research no. 308; p. 178
Main Authors Fernandez, R J, Gluck, J L
Format Journal Article
LanguageEnglish
Published United States 01.11.1994
Subjects
Adenocarcinoma - complications
Adenocarcinoma - surgery
Aged
Aged, 80 and over
Buttocks
Clostridium - isolation & purification
Colonic Neoplasms - complications
Colonic Neoplasms - surgery
Female
Gas Gangrene - complications
Gas Gangrene - microbiology
Gas Gangrene - pathology
Hip Joint - diagnostic imaging
Humans
Magnetic Resonance Imaging
Radiography
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Summary:Clostridial myonecrosis is a complication associated with contaminated traumatized wounds. Presented is the case of an elderly female with pain in her right hip, radiographic evidence of gas in the soft tissues, and no history of trauma. Evaluation of this patient revealed Clostridial myonecrosis. Culture results identified the organism as Clostridium septicum. Due to the association between Clostridium septicum and occult malignancies, colonoscopic evaluation was performed. A colonic lesion was discovered, biopsied, resected, and staged, using the Modified Duke Classification, as a well differentiated adenocarcinoma, C2 lesion. Myonecrosis and its associated malignancies carry high morbidity and mortality, but early diagnosis, appropriate treatment, and awareness of the association with occult malignancies may avert unnecessary mortality.
ISSN:0009-921X
1528-1132
DOI:10.1097/00003086-199411000-00025