A Case of Non-Clostridial Gas Gangrene at the Site of a Sacral Pressure Ulcer

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  • NISHI Wakako
    Department of Dermatology, Fujita Health University School of Medicine Department of Dermatology, Kariya Toyota General Hospital
  • IWATA Yohei
    Department of Dermatology, Fujita Health University School of Medicine
  • ARIMA Masaru
    Department of Dermatology, Fujita Health University School of Medicine
  • NISHIMURA Keiko
    Department of Dermatology, Fujita Health University School of Medicine Department of Dermatology, Kariya Toyota General Hospital
  • OKUMOTO Takayuki
    Department of Plastic Surgery, Fujita Health University School of Medicine
  • YOSHIMURA Youko
    Department of Plastic Surgery, Fujita Health University School of Medicine
  • MATSUNAGA Kayoko
    Department of Dermatology, Fujita Health University School of Medicine

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Other Title
  • 坐骨結節部の褥瘡から生じた非クロストリジウム性ガス壊疽の 1 例
  • 症例 坐骨結節部の褥瘡から生じた非クロストリジウム性ガス壊疽の1例
  • ショウレイ ザコツ ケッセツブ ノ ジョクソウ カラ ショウジタ ヒクロストリジウムセイ ガス エソ ノ 1レイ

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Abstract

We report a case of non-clostridial gas gangrene that developed from a decubitus ulcer overlying the left ischial tuberosity. A 47-year-old woman with paraplegia secondary to multiple sclerosis presented with fever associated with a sacral pressure ulcer of several weeks duration. The patient had been confined to a wheelchair for several years and did not seek medical attention when the pressure ulcer developed several weeks before. Tissue necrosis was observed at the ulcer site and computed tomography revealed gas in the left gluteal muscles and the lower left leg. A diagnosis of gas gangrene was made,and antibiotics were started. However, the fever continued and surgical debridement was performed. Bacterial cultures yielded Enterococcus avium and Lactobacillus sp. Multiple skin grafts and a gluteus maximus myocutaneous flap were needed to cover the skin defect. No recurrence of the ulcer has occurred.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 77 (1), 51-54, 2015

    Western Division of Japanese Dermatological Association

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