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- W2244920343 abstract "Background: Gas gangrene, also known as crepitant myonecrosis, is well-known to be most commonly caused by Clostridium species. Previous reports have revealed that nonclostridial involvement may be more prevalent. Klebsiella pneumoniae (K. pneumoniae) gas gangrene is a rare but fatal disease. Aim and Objectives: By a through clinical review, we would like to identify the characteristic clinical features of this disease and the reasons of its high fatality. Material and Methods: A retrospective chart review was performed in National Taiwan University Hospital from 2003~2008. The data was supplemented with a literature search. We collected a series of 6 patients K. pneumoniae gas gangrene. The clinical features, laboratory and image findings were recorded. Results: A painful swelling limb is the most common presentation. There were three cases reported previously in the literature. A review of these six patients showed that most patients (67%) were in immunosuppressant status or had diabetes. The cause was inconspicuous in 83% patients. The diagnosis of K. pneumoniae gas gangrene was delayed from 3 to 32 days in five of the six patients. Mortality was 100%. Conclusion: We speculate the cause of high fatality lies in the non-specific presentation of the disease, which delays the diagnosis. High clinical suspicion and prompt surgical debridement may be the key to improved survival." @default.
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- W2244920343 date "2009-09-01" @default.
- W2244920343 modified "2023-10-18" @default.
- W2244920343 title "Fatal Gas Gangrene Caused by Klebsiella Pneumoniae" @default.
- W2244920343 doi "https://doi.org/10.7096/jpsa.200909.0240" @default.
- W2244920343 hasPublicationYear "2009" @default.
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