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2014 ; 2014
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Gas gangrene presenting with back pain
#MMPMID24811103
El Sayad M
; Chikate A
; Ramesh B
BMJ Case Rep
2014[May]; 2014
(ä): ä PMID24811103
show ga
A 61-year-old Caucasian man (previously fit and well) presented to the emergency
department with 2 days of non-traumatic, non-radiating lower back pain. He was
admitted to our department having been provisionally diagnosed with discitis.
Later that night, while being reassessed, a skin lesion on his thigh appeared and
gas could be palpated. The patient was then taken immediately to theatre and a
radical surgical debridement was performed. The organism that grew from tissue
samples was Clostridium septicum, which when identified is an indication to
exclude colonic neoplasms. The patient managed to preserve his limb on this
occasion, however, he underwent a right hemicolectomy for what proved to be a
colonic tumour at a later date.