title: [Clostridium myonecrosis: a complication of inguinal hernia repair].
abstract: Clostridial myonecrosis is a necrotizing soft tissue infection characterized by muscular necrosis and, by extension, that of the surrounding tissue. If this infection develops quickly, it can cause septic shock and death if treatment is delayed. This infection does not occur frequently in civil medicine but nor is it exceptional after traumatic injuries or as a septic infection resulting from certain surgical interventions. Spontaneous development of clostridial myonecrosis is not uncommon (most commonly produced by the Clostridium septicum genus), propagated mainly from the colon in patients with neoplasia and in poor health. Consequently, in patients of bacteremia caused by C. septicum, colonic tumor must be ruled out. We present a new case of C. septicum myonecrosis of the abdominal after elective inguinal hernia repair.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Complexo Hospitalario Xeral-Calde, Lugo, España. carlosgeg@mixmail.com
authors.forename: Carlos
authors.initials: C
authors.lastname: Gegúndez Gómez
authors.forename: María Inmaculada
authors.initials: MI
authors.lastname: Monjero Ares
authors.forename: Josefina
authors.initials: J
authors.lastname: Cao Pena
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Costa Buján
authors.forename: José
authors.initials: J
authors.lastname: Conde Vales
authors.forename: José Félix
authors.initials: JF
authors.lastname: Arija Val
mesh_terms: D000369:Aged, 80 and over; D003015:Clostridium Infections / Q000209:etiology*; D052557:Clostridium septicum; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology; D009336:Necrosis; D011183:Postoperative Complications / Q000209:etiology*; D018461:Soft Tissue Infections / Q000209:etiology*