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1. クロストリジウム性筋肉壊死clostridial myonecrosis [show details]
…presentations of clostridial gas gangrene: traumatic and spontaneous. Traumatic gas gangrene is most commonly caused by Clostridium perfringens; spontaneous gangrene is most commonly caused by Clostridium septicum …
2. 細菌検査室におけるグラム染色および培養結果に対するアプローチapproach to gram stain and culture results in the microbiology laboratory [show details]
… white cells should raise suspicion for gas gangrene. Medium-length gram-positive rods include Corynebacterium species ; Cutibacterium… used for the game of drafts ("draftsmen" appearance). Some strains of Serratia marcescens produce non-diffusable red pigment, prodigiosin, or 2-methyl-3-amyl-6-methoxyprodigiosene. Several common pathogens…
3. 蜂窩織炎および皮下膿瘍：臨床症症状と診断cellulitis and skin abscess clinical manifestations and diagnosis [show details]
… The presence of tissue crepitus favors clostridial infection. Gas gangrene can also be detected radiographically.… common causes of cellulitis include Haemophilus influenzae type b (buccal cellulitis), clostridia and non-spore-forming anaerobes (crepitant cellulitis), Streptococcus pneumoniae, and Neisseria meningitidis …
4. 全身疾患による自己免疫性以外の溶血性貧血non immune hemolytic anemia due to systemic disease [show details]
… mellitus ; As a complication of medical, surgical, or spontaneous abortion; The diagnosis of clostridial sepsis should be entertained in patients who rapidly become gravely ill with evidence of intravascular …
5. HIV非感染の免疫不全患者における発熱および発疹fever and rash in immunocompromised patients without hiv infection [show details]
…rash in patients taking TNF-alpha inhibitors include Nocardia spp , Mycobacterium tuberculosis and non-tuberculous mycobacteria , Cryptococcus spp , endemic fungi such as Histoplasma and Coccidioides spp … Deep necrotizing infections frequently involve the deep muscle compartments and include clostridial and nonclostridial myonecrosis and necrotizing fasciitis.… spreading cellulitis, and myonecrosis with possible associated ecchymoses and bullae formation (ie, gas gangrene). The latter two entities are often associated with a rapidly progressive and fatal outcome . …

English Journal

Non-clostridial gas gangrene in a patient with poorly controlled type 2 diabetes mellitus on hemodialysis.

Shigemoto R, Anno T, Kawasaki F, Irie S, Yamamoto M, Tokuoka S, Kaneto H, Kaku K, Okimoto N.
Acta diabetologica. 2018 01;55(1)99-101.
PMID 28871383

Successful treatment of hepatic gas gangrene by open drainage: A case report and review of the Japanese literature.

Ono R, Kashiwagi H, Kawachi J, Isogai N, Miyake K, Murata T, Shimoyama R, Fukai R, Ogino H, Shinozaki N.
International journal of surgery case reports. 2018 ;49()121-125.
Liver gas gangrene is rare and has a low prognosis. This case, reports a successful treatment of hepatic gas gangrene using an open drainage technique, followed by antibiotics and hyperbaric oxygen therapy (HBO). An 82-year-old male with a history of left hepatectomy and bile duct resection for hila
PMID 30005363

Iatrogenic non-clostridial gas gangrene - a case report.

Sh J, Yp GC, J R.
The Medico-legal journal. 2016 Mar;84(1)49-51.
Skin and soft tissue infections of the lower limbs are quite common and can at times progress rapidly to become both limb and life-threatening infections. Muscular infections usually occur in areas of the body that have been compromised or injured by a foreign body, trauma, ischaemia, injection of i
PMID 26672772

Japanese Journal

骨吸収抑制薬関連顎骨壊死に由来した非クロストリジウム性ガス壊疽の1例

松原正和,石田展久,池田篤司,山近英樹,明石翔,飯田征二
日本口腔外科学会雑誌 63(10), 506-511, 2017
… Gas gangrene, on the other hand, is rapidly progressive and complicated by sepsis or disseminated intravascular coagulopathy (DIC) and has a very poor prognosis. … Gas gangrene more commonly occurs in the extremities, and rare develops in the head and neck region. … BRONJ with gas gangrene was diagnosed. …
NAID 130006258028

クローン病に併発し広範な下肢ガス壊疽に進展したフルニエ壊疽の1例

大塚恭寛
日本集中治療医学会雑誌 23(5), 575-578, 2016
症例はクローン病に対しステロイド療法を含む集学的治療中の43歳男性で，左下肢痛を主訴に当科を受診。肛門周囲膿瘍を中心とした会陰部から左側の臀部・大腿・下腿に及ぶ発赤と握雪感を伴う腫脹を認め，血液検査にて炎症反応と急性腎傷害所見を，CTにて会陰部から左下腿まで筋膜沿いに広がる皮下ガス像を認め，フルニエ壊疽の広範な下肢ガス壊疽への進展と診断。緊急切開排膿・debridementを行い，膿の細菌培養検査 …
NAID 130005262155