{"title":"产气荚膜梭菌继发的脓毒性休克和自发性坏疽性脾坏死:源头控制的重要性。","authors":"Morgan Oskutis, Matthew Reaven","doi":"10.1155/2021/5563071","DOIUrl":null,"url":null,"abstract":"<p><p><i>Clostridium perfringens</i> is a rare cause of septic shock, occurring most frequently in immunocompromised patients. An uncommon cause of <i>Clostridium perfringen</i> septicemia is spontaneous gangrenous gas necrosis of the spleen, where the primary treatment is splenectomy. We present a case of septic shock caused by spontaneous gangrenous gas necrosis of the spleen secondary to <i>Clostridium perfringens</i> in a patient whose profound pancytopenia made obtaining definitive source control extremely difficult.</p>","PeriodicalId":52357,"journal":{"name":"Case Reports in Critical Care","volume":"2021 ","pages":"5563071"},"PeriodicalIF":0.0000,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118737/pdf/","citationCount":"0","resultStr":"{\"title\":\"Septic Shock and Spontaneous Gangrenous Gas Necrosis of the Spleen Secondary to <i>Clostridium perfringens</i>: The Importance of Source Control.\",\"authors\":\"Morgan Oskutis, Matthew Reaven\",\"doi\":\"10.1155/2021/5563071\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Clostridium perfringens</i> is a rare cause of septic shock, occurring most frequently in immunocompromised patients. An uncommon cause of <i>Clostridium perfringen</i> septicemia is spontaneous gangrenous gas necrosis of the spleen, where the primary treatment is splenectomy. We present a case of septic shock caused by spontaneous gangrenous gas necrosis of the spleen secondary to <i>Clostridium perfringens</i> in a patient whose profound pancytopenia made obtaining definitive source control extremely difficult.</p>\",\"PeriodicalId\":52357,\"journal\":{\"name\":\"Case Reports in Critical Care\",\"volume\":\"2021 \",\"pages\":\"5563071\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-05-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118737/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Case Reports in Critical Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2021/5563071\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2021/5563071","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Septic Shock and Spontaneous Gangrenous Gas Necrosis of the Spleen Secondary to Clostridium perfringens: The Importance of Source Control.
Clostridium perfringens is a rare cause of septic shock, occurring most frequently in immunocompromised patients. An uncommon cause of Clostridium perfringen septicemia is spontaneous gangrenous gas necrosis of the spleen, where the primary treatment is splenectomy. We present a case of septic shock caused by spontaneous gangrenous gas necrosis of the spleen secondary to Clostridium perfringens in a patient whose profound pancytopenia made obtaining definitive source control extremely difficult.