Diagnosis and management of clostridium perfringens sepsis and uterine gas gangrene
Department of Obstetrics and Gynecology
Medical Subject Headings
Adult; Bacteremia; *Clostridium perfringens; Diagnosis, Differential; Female; Gas Gangrene; Humans; Hysterectomy; Infant, Newborn; Male; Meconium Aspiration Syndrome; Penicillins; Pregnancy; Pregnancy Complications, Infectious; Uterine Diseases
Obstetrics and Gynecology
The progression of Clostridium perfringens endomyometritis to gas gangrene is a rare, but greatly feared complication in the obstetrical patient. While endometritis following cesarean delivery is a common complication, recognition of C. perfringens as the pathogen as well as its progression to gas formation in the myometrium is essential to the survival of the patient. We present a patient that we recently cared for, and review the bacteriology, clinical diagnosis, and management.
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Citation: Obstet Gynecol Surv. 2002 Jan;57(1):53-7.