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Clostridium perfringens septicemia with massive hemolysis
1Department of Medicine, Veterans General Hospital, Taipei, Taiwan, R.O.C.
Scandinavian Journal of Infectious Diseases
|January 1, 1989
Summary
Clostridium perfringens septicemia can cause massive hemolysis and acute kidney injury. This case highlights a rare survival and recovery of renal function in a patient with these severe complications.
Area of Science:
- Infectious Diseases
- Nephrology
- Hematology
Background:
- Gallbladder empyema can lead to severe systemic infections.
- Clostridium perfringens septicemia is a rare but life-threatening condition.
- Intravascular hemolysis and acute kidney injury are critical complications of sepsis.
Observation:
- A previously healthy 69-year-old patient presented with gall bladder empyema.
- The patient developed Clostridium perfringens septicemia with massive intravascular hemolysis.
- Acute renal failure was a significant complication of the septic episode.
Findings:
- The patient experienced massive hemolysis and acute renal failure.
- Survival from C. perfringens septicemia with these complications is rare.
- The patient demonstrated recovery of normal renal function post-episode.
Implications:
- This case underscores the potential severity of C. perfringens infections.
- Successful management can lead to recovery from severe hemolysis and acute kidney injury.
- Highlights the importance of prompt diagnosis and treatment in sepsis survivors.