gas gangrene/obesity

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[Obesity, diabetes mellitus, and gas gangrene: a major therapeutic challenge].

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Soft tissue infections are uncommon but prognosis is severe (20 to 50%). Management consists in surgical debridement, antibiotic therapy against anaerobic and aerobic bacteria, and appropriate intensive care. When available, hyperbaric oxygen therapy is an integral part of the treatment. We report

Gas gangrene of the thigh in a morbidly obese patient with occult colon cancer.

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CONCLUSIONS We report a case of atraumatic gas gangrene and myonecrosis of the leg secondary to infection with Clostridium septicum in a severely obese patient with an occult cancer. She was treated successfully for both conditions. A review of the current literature describes this constellation of

Avoidance of total abdominal wall loss despite torso soft tissue clostridial myonecrosis: a case report.

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BACKGROUND Clostridial necrotizing soft tissue infections are often fatal. Myonecrosis of the torso is a particularly lethal combination given the classic need for radical debridement of the abdominal and thoracic walls, and therefore total exposure of the intraperitoneal and intrathoracic viscera.

Gas gangrene in orthopaedic patients.

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Clostridial myonecrosis is most often seen in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. Since 1953 cases of gas gangrene have been reported in orthopaedic patients including open fractures, closed fractures, and orthopaedic surgeries. We present a

Clostridial Gas Gangrene of the Abdominal Wall After Laparoscopic Cholecystectomy: A Case Report and Review.

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Clostridial gas gangrene is a rare, yet severe, complication after laparoscopic cholecystectomy. We present a case report of a 48-year-old man with obesity, coronary artery disease, and diabetes, who developed clostridial gas gangrene of the abdominal wall after an uncomplicated laparoscopic

Obesity and dermatology.

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Obesity is associated with a number of dermatoses. It affects cutaneous sensation, temperature regulation, foot shape, and vasculature. Acanthosis nigricans is the most common dermatological manifestation of obesity. Skin tags are more commonly associated with diabetes than with obesity. Obesity

Diabetic myonecrosis in a previously healthy woman and review of a 25-year Mayo Clinic experience.

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OBJECTIVE To describe a case of diabetic myonecrosis, an unusual complication of diabetes mellitus, and to provide an overview of an institutional experience with this condition. METHODS We report the clinical, laboratory, and imaging findings in a 50-year-old woman with no history of diabetes, who

Myonecrosis of paralumbar spine muscle.

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METHODS A case report. OBJECTIVE To report a case of myonecrosis in the paralumbar spinal muscle. BACKGROUND Diabetic myonecrosis is an uncommon and often a missed complication of poor controlled diabetes. It usually occurs in the lower extremities with thigh pain and swelling. Occurrence in the

Rhabdomyolysis of gluteal muscles leading to renal failure: a potentially fatal complication of surgery in the morbidly obese.

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BACKGROUND Rhabdomyolysis is a well-known cause of renal failure and is most commonly caused by ischemia/reperfusion or crush injury. We describe a new cause of this syndrome in a series of 6 patients who underwent necrosis of the gluteal muscles after bariatric surgery, 3 of whom eventually died of

Sliding free transverse rectus abdominis myocutaneous flap for closure of a massive abdominal wall defect: A case report.

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Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary

Complications after total hip replacement. The contralateral limb.

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Six patients who had a total hip replacement, as well as a trochanteric osteotomy, while they were in the lateral decubitus position had complications involving the contralateral side. The complications included transient paresthesias, massive swelling of the thigh with myonecrosis, acute renal

Necrotizing fasciitis. Case report.

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Necrotizing fasciitis (NF) is an infection localized at the fascial structures (both the superficial and deep ones) layering the muscles though never affecting them. NF death rate is very high (20-40%). NF can be a post-surgery, traumatic or infective complication and its prognosis quoad vitam is

A deceptive case of emphysematous cholecystitis complicated with retroperitoneal gangrene and emphysematous pancreatitis: clinical and computed tomography features.

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Purpose

Emphysematous cholecystitis (EC) is an uncommon, severe variant of acute cholecystitis caused by gas- forming bacteria - most often Clostridium perfringens and Escherichia coli. We present a deceptive case of EC associated with retroperitoneal gas gangrene

A case of fatal emphysematous pyelonephritis presenting as lower limb gaseous gangrene.

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The aim of this paper was to focus on emphysematous pyelonephritis (EPN), which is a severe disease that is rarely described in intensive care literature, although it is well-considered in urology and radiology journals, with numerous case reports. A 61 year-old diabetic and obese woman admitted to

Acute myocardial infarction.

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Modern management of acute myocardial infarction is built on a clinical evidence base drawn from many studies undertaken over the past three decades. The evolution in clinical practice has substantially reduced mortality and morbidity associated with the condition. Key to this success is the

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