小児前頭部ガス壊疽の1例

概要

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A 5-year-old-boy fell into river from 3 m height. He had a crush wound on the frontal region. Under the general anesthesia, it was closed primarily. Next day severe swelling and erythema appeared. Gas gangrene was suspected because skull CT scan showed gas in the subcutaneous tissue. He was transferred to our hosoital. Primary sutures were removed and the wound was opened. Cl. perfringens were isolated from pus. Antibiotics and serum antitoxin were given. During 9 days oxygen content was kept on about 60% around the wound. General condition improved gradually. He was discharged 62 postoperative day. In Japanese literature, from 1975 to 1985, including our case, 49 cases of gas gangrene had been reported, and pediatric patients with gas gangrene were only 5. Our case was the youngest, and this is the only case reported with skull or neck gas gangrene.
日本小児外科学会の論文
1987-10-20