[Clostridium myonecrosis: a complication of inguinal hernia repair].
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.
Gegúndez Gómez
Carlos
C
Servicio de Cirugía General y Aparato Digestivo, Complexo Hospitalario Xeral-Calde, Lugo, España. carlosgeg@mixmail.com
Monjero Ares
María Inmaculada
MI
Cao Pena
Josefina
J
Costa Buján
José Antonio
JA
Conde Vales
José
J
Arija Val
José Félix
JF
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*