title: [Fulminant gas gangrene panophthalmia following perforating scleral injury].
abstract: A 13-year-old boy developed Clostridium perfringens panophthalmitis due to a penetrating scleral injury. The characteristic symptoms were unusually severe periocular pain, lid edema, decreased motility and protrusion of the eye, severe conjunctival chemosis, pus covering the conjunctiva and cornea, green-brown hypopyon, gas bubbles in the anterior chamber, and amaurosis within 60 hours. In view of the patient's ocular status and impaired general condition enucleation was unavoidable. The results of laboratory workups are reported in addition to the clinical and ophthalmologic findings.
authors.affiliation: Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg.
authors.forename: C M
authors.initials: CM
authors.lastname: Wilk
authors.forename: K W
authors.initials: KW
authors.lastname: Ruprecht
authors.forename: G K
authors.initials: GK
authors.lastname: Lang
mesh_terms: D000293:Adolescent; D003016:Clostridium perfringens / Q000302:isolation & purification; D015353:Eye Enucleation; D005129:Eye Foreign Bodies / Q000150:complications; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000473:pathology; D005738:Gas Gangrene / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D010202:Panophthalmitis / Q000473:pathology* / Q000601:surgery; D012590:Sclera / Q000293:injuries*; D014822:Vitreous Body / Q000293:injuries
vernacular_title: Foudroyante Gasbrand-Panophthalmie nach perforierender Skleraverletzung.