CC BY-NC-ND 4.0 · J Lab Physicians 2019; 11(01): 094-096
DOI: 10.4103/JLP.JLP_108_18
Case Report

Clostridium sordelli as a cause of gas gangrene in a trauma patient

Vijeta Bajpai
Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
,
Aishwarya Govindaswamy
Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
,
Sonu Kumari Agrawal
Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
,
Rajesh Malhotra
Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
,
Purva Mathur
Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
› Institutsangaben
Financial support and sponsorship: Nil

Abstract

Gas gangrene is a necrotic infection of the skin and soft tissue that is associated with high mortality and often necessitating amputation to control the infection. Clostridial myonecrosis is most often cause of gas gangrene and usually present in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. The most common causative organism of clostridial myonecrosis is Clostridium perfringens followed by Clostridium septicum. Here, we are reporting an unusual case report of posttraumatic gas gangrene caused by Clostridium sordelli.



Publikationsverlauf

Eingereicht: 08. August 2018

Angenommen: 26. November 2018

Artikel online veröffentlicht:
06. April 2020

© 2019.

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  • References

  • 1 Cunniffe JG. Clostridium sordellii bacteraemia. J Infect 1996;33:127-9.
  • 2 Kimura AC, Higa JI, Levin RM, Simpson G, Vargas Y, Vugia DJ, et al. Outbreak of necrotizing fasciitis due to Clostridium sordellii among black-tar heroin users. Clin Infect Dis 2004;38:e87-91.
  • 3 Aggelidakis J, Lasithiotakis K, Topalidou A, Koutroumpas J, Kouvidis G, Katonis P, et al. Limb salvage after gas gangrene: A case report and review of the literature. World J Emerg Surg 2011;6:28.
  • 4 Bryant AE, Stevens DL. Clostridial myonecrosis: New insights in pathogenesis and management. Curr Infect Dis Rep 2010;12:383-91.
  • 5 Christie B. Gangrene bug killed 35 heroin users. West J Med 2000;173:82-3.
  • 6 Stevens. Clostridial myonecrosis and other clostridial diseases. In: GoldmanL, Bennett JC, editors. Cecil Textbook of Medicine. 21st ed. Ch. 334. Philadelphia: WB Saunders; 2000. p. 1668-73.
  • 7 Smith LD. Clostridium sordellii, The Pathogenic Anaerobic Bacteria. 2nd ed. Springfield, IL: Charles C. Thomas Publishing; 1975. p. 291-8.
  • 8 Aldape MJ, Bryant AE, Stevens DL. Clostridium sordellii infection: Epidemiology, clinical findings, and current perspectives on diagnosis and treatment. Clin Infect Dis 2006;43:1436-46.
  • 9 Bouvet P, Sautereau J, Le Coustumier A, Mory F, Bouchier C, Popoff MR, et al. Foot infection by Clostridium sordellii: Case report and review of 15 cases in France. J Clin Microbiol 2015;53:1423-7.
  • 10 Browdie DA, Davis JH, Koplewitz MJ, Corday L, Leadbetter AW. Clostridium sordelli infection. J Trauma 1975;15:515-8.
  • 11 Aldape MJ, Bryant AE, Ma Y, Stevens DL. The leukemoid reaction in Clostridium sordellii infection: Neuraminidase induction of promyelocytic cell proliferation. J Infect Dis 2007;195:1838-45.
  • 12 Agrawal P, Garg R. Fulminant leukemoid reaction due to postpartum Clostridium sordellii infection. J Glob Infect Dis 2012;4:209-11.
  • 13 Gredlein CM, Silverman ML, Downey MS. Polymicrobial septic arthritis due to Clostridium species: Case report and review. Clin Infect Dis 2000;30:590-4.
  • 14 Nakagawa M, Sugawa I. Anaerobic cellulitis caused by Clostridium sordellii. Nihon Seikeigeka Gakkai Zasshi 1968;42:69-74.