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Case Report
Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report
1 MBChB, FWACS, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria
2 MBBS, FWACS, Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria
3 MBBS, Department of Anaesthesia, University College Hospital, Ibadan, Oyo State, Nigeria
Address correspondence to:
Richard A Omoyeni
Department of Orthopaedics and Trauma, University College Hospital, Ibadan, Oyo State,
Nigeria
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Article ID: 101212Z01OO2021
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How to cite this article
Oyewole OA, Omoyeni RA, Otegbeye A, Ogunrewo TO, Balogun MJ. Non-traumatic, non-clostridial gas gangrene of the lower limb requiring hip disarticulation: A case report. Int J Case Rep Images 2021;12:101212Z01OO2021.ABSTRACT
Introduction: Non-traumatic (spontaneous) gas gangrene is very rare and usually caused by clostridial organism in immune compromised patients. This case report presents a rare occurrence of this condition by non-clostridial organism in a patient with no known immune compromising status.
Case Report: A 45-year-old male plumber presented with a three months history progressively worsening atraumatic right leg gas gangrene. Within 48 hours of admission, the infection ascended from the knee to the hip joint necessitating a hip disarticulation. Tissue culture yielded Klebsiella pneumoniae as the offending organism.
Conclusion: Non-traumatic, non-clostridial gas gangrene may occur in previously healthy individuals. Systemic manifestation of sepsis is delayed hence improving the chances of survival if identified early and prompt and appropriate antibiotic and surgical intervention is instituted.
Keywords: Gas gangrene, Klebsiella pneumoniae, Non-clostridial gangrene, Non-traumatic gangrene
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Author Contributions
Olugboyega A Oyewole - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Richard A Omoyeni - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Ajibola Otegbeye - Conception of the work, Design of the work, Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Tolulope O Ogunrewo - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mosimabale J Balogun - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Olugboyega A Oyewole et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
