Microbiology Discovery

Microbiology Discovery

ISSN 2052-6180
Case report

Clostridium paraputrificum as rare causative of lifethreatening spontaneous necrotizing cellulitis of the abdominal wall

Joerg Lindenmann1*, Nicole Fink-Neuboeck1, Eva Leitner2, Andrea Grisold2, Peter Kohek3 and Freyja Maria Smolle-Juettner1

*Corresponding author: Joerg Lindenmann jo.lindenmann@medunigraz.at

1. Division of Thoracic and Hyperbaric Surgery, Medical University Graz, Austria.

Author Affiliations

2. Instituteof Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Austria.

3. Department of Surgery, Medical University Graz, Austria.


Background: Necrotizing soft-tissue infections, in particular clostridial myonecrosis (gas gangrene), represent acuteand potential life-threatening emergencies still associated with high mortality.

Objective: This report emphasizes that in case of gas gangrene very early identification followed by immediate aggressive interdisciplinary treatment are of utmost importance for survival.

Case presentation: A 70-year-old female was admitted with a giant umbilical hernia suffering from abdominal gas gangrene combined with severe septic shock. After emergency laparotomy, enhanced intravenous broad-spectrum-antibiotics and consistent hyperbaric oxygenation (HBO), the patient´s general condition improved considerably. During the further course she fully recovered and was discharged on the 14th postoperative day.

Conclusion: This case is the first report of life-threatening abdominal gas gangrene induced by Clostridium paraputrificum treated successfully with emergency surgery, antibiotics and supportive HBO, respectively. By means of this promptly initiated multimodal emergency treatment the patient's life could be saved last-minute.

Keywords: Gas gangrene, necrotizing soft-tissue infection, emergency, mortality, septic shock, antibiotics, surgery, hyperbaric oxygenation

ISSN 2052-6180
Volume 4
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