Fatal Clostridium septicum infection in a patient with a hematological malignancy
作者: Ragesh PanikkathVenu KonalaDeepa PanikkathElvira UmyarovaFred Hardwicke
作者单位: 1From the Departments of Internal Medicine and Oncology, Texas Tech University Health Sciences Center-School of Medicine, Lubbock, Texas.
刊名: Baylor University Medical Center Proceedings, 2014, Vol.27 (2), pp.111-112
来源数据库: Baylor University Medical Center Proceedings
英文摘要: A 49-year-old woman with acute myeloid transformation of myelodysplastic syndrome was admitted with mild erythema and pain in the right thigh and left forearm. She was doing well and had been discharged the previous day after consolidation chemotherapy. Examination showed only mild erythema and tenderness of the right thigh. She was started on broad-spectrum antibiotics. Discoloration progressed rapidly, and within hours the right femoral and left brachial pulses were not palpable. She was taken to the operating room for a suspicion of embolic arterial occlusion. Surgical incision, however, revealed extensive necrosis of the tissues with the presence of gas. Her relatives did not want her to undergo amputation. The patient developed refractory hypotension and died within 15 hours of...

  • hematological 血液学的
  • malignancy 恶性
  • septicum 坏疽抗毒素
  • Fatal 敌草索
  • patient 有耐性的
  • infection 感染