[A case of freeze-dried gas gangrene antitoxin for the treatment of Clostridium perfringens sepsis].
A 66-year-old man was admitted to our hospital with high fever. We diagnosed a gas-containing liver abscess and performed percutaneous abscess drainage. However, 15 hours after admission, he developed massive intravascular hemolysis and acidosis. Sepsis due to Clostridium perfringens was suspected and we treated the patient intensively with multidisciplinary approaches, including antibiotics, mechanical ventilation, and renal replacement therapy. Furthermore, we administered freeze-dried gas gangrene antitoxin. Despite intensive care, the patient died 43 hours after admission.
Department of Gastroenterology, Japanese Red Cross Kyoto Daiichi Hospital.
Juichiro
J
Yoshida
Hideki
H
Nakamura
Shinya
S
Yamada
Satoru
S
Sekoguchi
Takahiro
T
Suzuki
Naoya
N
Tomatsuri
Hideki
H
Sato
Yusuke
Y
Okuyama
Hiroyuki
H
Kimura
Norimasa
N
Yoshida
D000368:Aged; D000992:Antitoxins / Q000627:therapeutic use*; D005612:Freeze Drying; D005738:Gas Gangrene / Q000628:therapy*; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000628:therapy; D008297:Male
D000992:Antitoxins