Gas Gangrene after an Intramuscular Injection: A Case Report

  • Jithin Sony St. John’s Medical College, Bangalore, Karnataka, India
  • Rahul Ralph Sima St. John’s Medical College, Bangalore, Karnataka, India
  • H Raja St. John’s Medical College, Bangalore, Karnataka, India,
  • L N Mohan St. John’s Medical College, Bangalore, Karnataka, India
Keywords: Gas gangrene, Hyperbaric oxygen therapy, Limb salvage

Abstract

Gas gangrene is a necrotic infection of soft tissue associated with a high mortality, often necessitating amputation to control the infection. It is mainly caused by Clostridium perfringens which is a Gram-positive, anaerobic, spore-bearing bacillus widely found in nature, particularly in soil and feces. Incubation time for gas gangrene is short, usually <24 h, and the physical finding of crepitus is characteristic in the setting of soft tissue infection. Herein, we present a case of gas gangrene of the gluteal region and thigh following an intramuscular injection where the patient was treated with multiple debridements, antibiotics, and hyperbaric oxygen therapy; a review of the literature is presented here.

Author Biographies

Jithin Sony, St. John’s Medical College, Bangalore, Karnataka, India

Junior Resident, Department of General Surgery, 

Rahul Ralph Sima, St. John’s Medical College, Bangalore, Karnataka, India

Senior Resident,
Department of General Surgery, 

H Raja, St. John’s Medical College, Bangalore, Karnataka, India,

Associate Professor, Department
of General Surgery,

L N Mohan, St. John’s Medical College, Bangalore, Karnataka, India

Professor, Department of General Surgery,

Published
2016-10-30