Van Asbroeck Ellen, Vasileiadou Ourania, De Laere Sylvie, Van Hedent Eddy, Devue Katleen
Department of Surgery, ASZ Aalst, Aalst, Belgium.
Department of Emergency Medicine, ASZ Aalst, Aalst, Belgium.
Int J Emerg Med. 2022 Oct 5;15(1):56. doi: 10.1186/s12245-022-00458-w.
We present an unusual and severe case of spontaneous clostridial myonecrosis (SCM) in an elderly patient, with severe skipping lesions spread throughout the body. CT imaging, combined with postmortem available blood cultures, confirmed the diagnosis. We noted an underrepresentation of SCM in the cohort of elderly patients (≥ 85 years), upon a review of case reports in the literature over the last decade. Given the worldwide demographic change resulting in an increase in the number of visits to emergency departments for this age group, it is likely that SCM is underdiagnosed in these elderly patients. This case report aims to increase awareness among emergency physicians to recognize the disease as well as to provide a treatment guideline, in order to provide better care and outcome.
我们报告了一例老年患者发生的罕见且严重的自发性梭菌性肌坏死（SCM）病例，其全身出现严重的跳跃性病变。CT成像结合死后血培养确诊了该诊断。在回顾过去十年的文献病例报告时，我们注意到老年患者（≥85岁）队列中SCM的病例较少。鉴于全球人口结构变化导致该年龄组到急诊科就诊的人数增加，这些老年患者中的SCM很可能未得到充分诊断。本病例报告旨在提高急诊医生对该疾病的认识，并提供治疗指南，以便提供更好的护理和治疗结果。
