title: [Fatal intracerebral gas gangrene in a 10-month-old child].
abstract: Today, intracerebral infections by gas forming bacteria are very rare. They are mostly seen after penetrating injuries and more rarely after trivial trauma. Although prognosis of this kind of infection is severe, the general outcome of these patients after surgical and antibiotic treatment is good. We report a ten months old boy suffering a pecking injury just above the left ear with perforation of the temporal bone and dura. In between 48 hrs he developed a rapidly progressive gas gangrene encephalitis due to infection with C. perfringens and died despite of surgical and antibiotic treatment due to massive brain swelling and cardio-pulmonary failure.
authors.affiliation: Klinik und Poliklinik für Neurochirurgie, Universität Regensburg.
authors.forename: S
authors.initials: S
authors.lastname: Bele
authors.forename: A
authors.initials: A
authors.lastname: Fiedler
authors.forename: C
authors.initials: C
authors.lastname: Woertgen
authors.forename: F
authors.initials: F
authors.lastname: Staudt
authors.forename: B
authors.initials: B
authors.lastname: Schellmann
authors.forename: A
authors.initials: A
authors.lastname: Brawanski
mesh_terms: D000818:Animals; D002645:Chickens / Q000382:microbiology; D003016:Clostridium perfringens; D004431:Ear, External / Q000293:injuries; D004660:Encephalitis / Q000382:microbiology / Q000473:pathology*; D005738:Gas Gangrene / Q000473:pathology* / Q000635:transmission; D006801:Humans; D007223:Infant; D008297:Male; D013701:Temporal Bone / Q000293:injuries / Q000473:pathology; D014946:Wound Infection / Q000473:pathology; D015047:Zoonoses