Spontaneous intrahepatic gas gangrene and fatal septic shock

Nick Vermeersch, Ellen Meyns, Wim Hoste, Herman Delooz, Ives Hubloue

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Abstract
Gas gangrene of the liver is a rare clinical syndrome associated with a high rate of mortality. It is mostly associated with malignancy and immunosuppression. We report on a male patient who presented at the department of emergency medicine with high fever but no localised complaints. CT scan revealed a cavitary lesion filled with air in the liver. Clostridium perfringens was proved to be present in the hepatic lesion and the blood, and clostridium perfringens sepsis with gas gangrene of the liver was diagnosed. Despite early diagnosis and treatment the patient died. The importance of "an aggressive treatment policy" in this kind of life-threatening disease is emphasised.
Original languageEnglish
Pages (from-to)400-404
Number of pages5
JournalActa Chir Belg
Volume109
Issue numberMay-June
Publication statusPublished - May 2009

Keywords

  • gas gangrene
  • Fatal Outcome
  • Clostridium perfringens
  • Humans
  • Liver Abscess
  • Male
  • Middle Aged
  • Shock
  • septic shock

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