TY - JOUR
T1 - A case of non-clostridial gas gangrene at the site of a sacral pressure ulcer
AU - Nishi, Wakako
AU - Iwata, Yohei
AU - Arima, Masaru
AU - Nishimura, Keiko
AU - Okumoto, Takayuki
AU - Yoshimura, Youko
AU - Matsunaga, Kayoko
N1 - Publisher Copyright:
© 2015 Western Division of Japanese Dermatological Association. All rights reserved.
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
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U2 - 10.2336/nishinihonhifu.77.51
DO - 10.2336/nishinihonhifu.77.51
M3 - Article
AN - SCOPUS:84937128730
SN - 0386-9784
VL - 77
SP - 51
EP - 54
JO - Nishinihon Journal of Dermatology
JF - Nishinihon Journal of Dermatology
IS - 1
ER -