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Published on: October 11, 2018
Massive intravascular hemolysis in a patient infected by a Clostridium perfringens
Shoichiro Ohtani1, Naomi Watanabe, Masashi Kawata
1Department of Surgery, Tamashima Central Hospital, Kurashiki, Okayama 713-8122, Japan.
Abstract:
Clostridium perfringens infection is a very rare cause of massive intravascular hemolysis, but it should always be kept in mind, since only early treatment can rescue patients from an otherwise rapidly fatal outcome. We report a case of a 78-year-old diabetic male who was admitted complaining of general fatigue, dark red urine, and vomiting. His blood revealed massive hemolysis. Computer tomography demonstrated huge liver abscess in the right lobe of the liver. About 1 h after admission, he suddenly fell into a critical condition. He died 3 h after admission in spite of intensive care and resuscitation. Clostridium perfringens was detected from the blood taken before death and from liver abscess by biopsy after death. We concluded that this patient died of acute massive intravascular hemolysis in septicemia caused by Clostridium perfringens infection.
Insights
Clostridium perfringens infection is a rare cause of massive intravascular hemolysis. Prompt treatment is crucial for survival in patients with this severe septicemia.
Area of Science:
- Infectious Diseases
- Hematology
Background:
- Clostridium perfringens is a rare but serious cause of massive intravascular hemolysis.
- Early recognition and treatment are critical for patient survival.
Observation:
- A 78-year-old diabetic male presented with fatigue, dark red urine, and vomiting.
- Massive hemolysis and a large liver abscess were identified.
- The patient rapidly deteriorated and died within hours of admission.
Findings:
- Clostridium perfringens was identified in blood and liver abscess samples.
- The patient's death was attributed to acute massive intravascular hemolysis secondary to C. perfringens septicemia.
Implications:
- Highlights the importance of considering C. perfringens in cases of unexplained massive hemolysis.
- Emphasizes the need for rapid diagnosis and aggressive management of C. perfringens infections.
- Underscores the potentially fatal outcome of delayed treatment for this condition.
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