title: Iatrogenic non-clostridial gas gangrene - a case report.
abstract: Skin and soft tissue infections of the lower limbs are quite common and can at times progress rapidly to become both limb and life-threatening infections. Muscular infections usually occur in areas of the body that have been compromised or injured by a foreign body, trauma, ischaemia, injection of illicit drugs, malignancy or surgery. Gas gangrene is one such limb-threatening infection. The gas-forming infection can be clostridial or non-clostridial. Clostridia are the main causative organism of the gas gangrene. Non-clostridial gas gangrene is a rare condition and is known to be associated with high mortality. Here, we report one such rare case where a middle-aged man succumbed to non-clostridial gas gangrene after he was administered an intramuscular injection. The case was registered as a suspicious death by the police and the body was subjected to medico legal autopsy.
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India veejay02@gmail.com.
authors.forename: Jayanth
authors.initials: J
authors.lastname: Sh
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: Girish Chandra
authors.initials: GC
authors.lastname: Yp
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: Ramkumar
authors.initials: R
authors.lastname: J
mesh_terms: D001344:Autopsy; D003013:Clostridium; D005738:Gas Gangrene / Q000209:etiology* / Q000473:pathology*; D006801:Humans; D007049:Iatrogenic Disease; D007273:Injections, Intramuscular / Q000009:adverse effects*; D007710:Klebsiella Infections; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged
keywords: Intramuscular injection; clostridial; gas gangrene; iatrogenic; non-clostridial infection