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BMJ Case Rep. 2013 Oct 9;2013. pii: bcr2013200242. doi: 10.1136/bcr-2013-200242.

Clostridium perfringens gas gangrene at a wrist intravenous line insertion.

Author information

1
Department of Anaesthetics & Critical Care, NHS Lothian, Edinburgh, Midlothian, UK.

Abstract

A patient admitted to the intensive care unit for management of hypotension following a multiple medications overdose subsequently deteriorated rapidly with sepsis. A cannula site was noted to be bruised, swollen and erythematous and the X-ray demonstrated gas sitting within the tissues surrounding the metacarpal bones. The patient was referred to the orthopaedic surgeons and quickly taken for debridement of the affected area and fasciotomies of the forearm. Microbiological investigation confirmed Clostridium perfringens to be present in multiple fluid samples taken from the affected site.

PMID:
24108766
PMCID:
PMC3822093
DOI:
10.1136/bcr-2013-200242
[Indexed for MEDLINE]
Free PMC Article
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