Necrotizing duodenitis caused by Clostridium perfringens type A in a Japanese young man.
A 21-year-old Japanese man with a history of marked body weight loss over a short period of time died of necrotizing duodenitis caused by Clostridium perfringens (C. perfringens) type A. C. perfringens type A is considered to usually cause self-limiting gastroenteritis. Necrotizing enteritis sometimes occurs due to C. perfringens in developing countries; however, it is primarily caused by the type C strain and its site of onset is typically the jejunum or ileum. This is a rare case of necrotizing duodenitis caused by C. perfringens type A in a Japanese young man. Physicians need to be more aware of this emerging fatal disease in developed countries.
Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan. e_dai_for_all@hotmail.com
Hideharu
H
Hagiya
Hiromichi
H
Naito
Junichi
J
Sugiyama
Hiroyoshi
H
Nojima
Shingo
S
Hagioka
Naoki
N
Morimoto
D044466:Asian People; D003015:Clostridium Infections / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D003016:Clostridium perfringens; D003906:Developing Countries; D004382:Duodenitis / Q000209:etiology / Q000382:microbiology / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009336:Necrosis; D055815:Young Adult