title: Fulminant Clostridium Septicum myonecrosis in well controlled diabetes: a case report.
abstract: Diabetic myonecrosis with Clostridium Septicum is uncommon but carries a high mortality rate. This commensal organism is part of the gastrointestinal tract flora and can become extremely virulent, often in the setting of immuno-suppression such as neutropenia, occult malignancy (commonly caecal) and poorly controlled diabetes. The case report is unusual in that there are few risk factors other than very mild neutropenia. This highlights the opportunistic character of the organism and recommends that a high index of suspicion and vigilance be carried out in the presence of fevers and sepsis, even in the well-controlled diabetic population.
authors.affiliation: Division of Clinical Chemistry Hunter Area Pathology Service, John Hunter Hospital, Locked Bag 1, Hunter Region Mail Centre, Newcastle, New South Wales, Australia 2310. huy.tran@hnehealth.nsw.gov.au.
authors.forename: Huy A
authors.initials: HA
authors.lastname: Tran
authors.forename: Esther
authors.initials: E
authors.lastname: Myint