Borrego D, María-Tome P, Cascales P, García Aguayo J M, Pérez Amoros G, Abad A
Servicio de Hematologia del Hospital de Elda, SVS.
Sangre (Barc). 1991 Aug;36(4):315-7.
A case of massive haemolytic anaemia in the course of a C. perfringens sepsis of hepatic origin is presented. The diagnosis was strongly suggested by the presence of intragranulocytic capsulated bacilli in a Giemsa stained peripheral blood smear. The patient developed disseminated intravascular coagulation. The outcome was fatal and the patient died eight hours after admission. We review the aetiopathogenesis, diagnosis and therapy of haemolysis in Clostridium perfringens infections.
本文报告1例源于肝脏的产气荚膜梭菌败血症并发大量溶血性贫血的病例。吉姆萨染色的外周血涂片显示粒细胞内有荚膜杆菌，强烈提示了该诊断。患者发生了弥散性血管内凝血。结局是致命的，患者在入院8小时后死亡。我们回顾了产气荚膜梭菌感染中溶血的病因、发病机制、诊断和治疗。
