Clostridium septicum myonecrosis following gardening: A case report

• DOI: 10.1016/j.ijscr.2023.108000
• Publication Date: 2023-03-20T03:10:22Z
• Authors: Salik Hamid; Ashok Gadré; Liselott Fornander; Johanna Sjöwall; Måns Muhrbeck
• Keywords: Clostridium septicum; Gas gangrene; Iliopsoas

Clostridial myonecrosis (CM), or gas gangrene, is a rare necrotizing muscle infection caused most often by Clostridium perfringens C. septicum. Inoculation can occur either traumatically spontaneously. CM has high mortality rate if not treated promptly. A 64-year-old male presented to the emergency department (ED) with sudden onset left flank pain and fever. Repeated CT scans demonstrated progressive edema around iliopsoas formation bleeding. The patient received intravenous fluids, meropenem, clindamycin. Emergency laparotomy was performed on suspicion of fasciitis revealed necrotic which partially excised. Blood cultures were positive at 12 h growth Prolonged stay in intensive care unit, six additional surgical interventions abdomen, thigh, needed. discharged after four months nursing home. septicum more occurs spontaneously associated colorectal malignancy. However, for our patient, colonography proctoscopy did reveal any pathology. Therefore, we believe resulted from an injury sustained while working his backyard, cut barbed wire arm soil contaminating psoriatic lesions. Successful outcomes patients require index suspicion, timely treatment antibiotics, repeated debridements. This case report describes presentation management presumably injury-related