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糖尿病控制不佳患者气性坏疽的肆虐威胁:产气荚膜梭菌感染的一例引人关注的病例报告

Unbridled Threat of Gas Gangrene in a Patient With Uncontrolled Diabetes Mellitus: A Compelling Case Report of Clostridium perfringens Infection.

作者信息

Serafio-Gómez José Luis, Bustillos-Ponce Melanie, Almeida-Muñoz Diego Emmanuel, Parra-Hernández Joel Armando, Pompa-Díaz Julio César

机构信息

General Surgery, Chihuahua City General Hospital "Dr. Salvador Zubirán Anchondo", Chihuahua, MEX.

General Surgery, Hospital General de Hidalgo del Parral, Chihuahua, MEX.

出版信息

Cureus. 2023 Dec 16;15(12):e50614. doi: 10.7759/cureus.50614. eCollection 2023 Dec.

Abstract

, a Gram-positive anaerobic bacterium, is well-known for its association with gas gangrene, a severe and rapidly progressing infection characterized by tissue gas production and necrosis. In this case report, we present the instance of a 64-year-old male with poorly controlled diabetes mellitus who developed a -related infection following a traumatic foot wound. The report emphasizes the critical significance of early diagnosis and aggressive treatment in infections, particularly in patients with underlying risk factors. Detailed accounts of clinical findings, laboratory results, computed tomography, and surgical interventions are provided. A multidisciplinary approach proved essential for successful management. The inherent scholarly value of this case is substantiated by its meticulous documentation of the clinical trajectory, diagnostic modalities, and treatment modalities employed. The intricate collaboration across diverse medical disciplines, the uncommon manifestation of the infection following a traumatic foot wound, and the favorable outcome achieved through prompt and multidisciplinary intervention collectively contribute to the exceptional nature and didactic significance of this case. The dissemination of such clinical experiences assumes paramount importance in advancing medical scholarship, cultivating awareness, and engendering a profound comprehension of the complexities associated with infections, thereby enriching the wider scientific and medical community.

摘要

作为一种革兰氏阳性厌氧菌,以与气性坏疽相关而闻名,气性坏疽是一种严重且进展迅速的感染,其特征为组织产气和坏死。在本病例报告中,我们呈现了一名64岁男性糖尿病控制不佳患者在足部创伤后发生与[细菌名称未给出]相关感染的实例。该报告强调了在[细菌名称未给出]感染中早期诊断和积极治疗的关键意义,尤其是在有潜在危险因素的患者中。提供了临床发现、实验室结果、计算机断层扫描和手术干预的详细描述。事实证明,多学科方法对于成功管理至关重要。该病例的固有学术价值通过对临床病程、诊断方式和所采用治疗方式的细致记录得以证实。不同医学学科之间的复杂协作、足部创伤后感染的罕见表现以及通过及时和多学科干预取得的良好结果,共同促成了该病例的特殊性和教学意义。传播此类临床经验对于推进医学学术、培养意识以及深入理解与[细菌名称未给出]感染相关的复杂性至关重要,从而丰富更广泛的科学和医学界。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/10726074/bf7def7592d0/cureus-0015-00000050614-i01.jpg

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