In:
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine, Wiley, Vol. 28, No. 10 ( 2017-10), p. 805-811
Abstract:
We herein report a case involving a patient with diabetes mellitus complicated by non–clostridial gas gangrene who presented with cardiac arrest secondary to septic shock. The patient was a 44–year–old man with a history of hypertension, diabetes mellitus, and chronic kidney disease. Approximately 1.5 months previously, he had been hospitalized at a nearby facility with necrosis of a right toe, but he subsequently developed septic shock due to gas gangrene in the right leg and was transported to our hospital. During treatment in the emergency room, the patient went into cardiopulmonary arrest. Cardiopulmonary resuscitation was performed, and the patient survived; however, his overall status was not stable, and knee disarticulation and blood purification therapy were started in the emergency room. After resolution of the septic shock, we performed hip disarticulation, lavaged the open wound on a daily basis, started negative–pressure wound therapy, and performed a skin graft. Although preservation of the diseased limb may be possible in some cases, it is necessary to consider the optimal treatment, including amputation, early in the disease course to prevent spread of infection and deterioration of the overall status.
Type of Medium:
Online Resource
ISSN:
1883-3772
,
1883-3772
DOI:
10.1002/jja2.2017.28.issue-10
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2846771-1
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