Case Report


Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report

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1 MBChB, FWACS, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria

2 MBBS, FWACS, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria

3 MBBS, Department of Anaesthesia, University College Hospital, Ibadan, Oyo State, Nigeria

Address correspondence to:

Richard A Omoyeni

Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State,

Nigeria

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Article ID: 101212Z01OO2021

doi: 10.5348/101212Z01OO2021CR

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How to cite this article

Oyewole OA, Omoyeni RA, Otegbeye A, Ogunrewo TO, Balogun MJ. Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report. Int J Case Rep Images 2021;12:101212Z01OO2021.

ABSTRACT


Introduction: Non-traumatic (spontaneous) gas gangrene is very rare and usually caused by clostridial organism in immune compromised patients. This case report presents a rare occurrence of this condition by non-clostridial organism in a patient with no known immune compromising status.

Case Report: A 45-year-old male plumber presented with a three months history progressively worsening atraumatic right leg gas gangrene. Within 48 hours of admission, the infection ascended from the knee to the hip joint necessitating a hip disarticulation. Tissue culture yielded Klebsiella pneumoniae as the offending organism.

Conclusion: Non-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals. Systemic manifestation of sepsis is delayed hence improving the chances of survival if identified early and prompt and appropriate antibiotic and surgical intervention is instituted.

Keywords: Gas gangrene, Klebsiella pneumoniae, Non-clostridial gangrene, Non-traumatic gangrene

SUPPORTING INFORMATION


Author Contributions

Olugboyega A Oyewole - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Richard A Omoyeni - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Ajibola Otegbeye - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Tolulope O Ogunrewo - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Mosimabale J Balogun - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Olugboyega A Oyewole et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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