title: Peptostreptococcal myonecrosis of extraperitoneal origin--a life-threatening complication of pelvic ring disruption.
abstract: This report illustrates the clinical and pathological findings of anaerobic streptococcal myonecrosis following extraperitoneal rectal injury in a 28-year-old patient with traumatic pelvic ring disruption. Four days following admission, the patient underwent laparotomy, debridement and drainage of the left-sided abdominal wall and presacral space for gross surgical emphysema and streptococcal anaerobic myonecrosis. The specificity of this infection and its impact on the diagnosis and treatment of the condition are briefly discussed. Accent is given to early recognition, appropriate medical and surgical management, and hyperbaric oxygenation as an additive measure.
authors.affiliation: Department of Emergency Surgery, Military Medical Academy, Sofia.
authors.forename: J
authors.initials: J
authors.lastname: Losanoff
authors.forename: K
authors.initials: K
authors.lastname: Kjossev
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D009220:Myositis / Q000175:diagnosis* / Q000601:surgery; D009336:Necrosis; D010384:Pelvic Bones / Q000293:injuries*; D010462:Peptostreptococcus; D012007:Rectum / Q000293:injuries; D012086:Reoperation; D012421:Rupture; D014946:Wound Infection / Q000175:diagnosis* / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents