Clostridium perfringens surgical site infection after osteotomy for knee deformity correction in a non-immunocompromised child

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Abstract

Background: Clostridium perfringens myonecrosis following an elective surgical procedure in a previously healthy child is a rare incident.

Methods: Case report and literature review.

Results: A two-year old boy admitted for elective bilateral osteotomies of tibiae was detected to be febrile at day one post-operatively with crepitus felt at his left ankle. An emergency wound debridement was performed followed by a course of antibiotics. Clostridium perfringens was isolated from tissue culture. His wound was later covered with a split-thickness skin graft.

Conclusion: Clostridium perfringens infection following a surgical procedure in a healthy child is rare. A high index of suspicion is important to recognize this debilitating infection.

Original languageEnglish
Pages (from-to)656-658
Number of pages3
JournalSurgical Infections
Volume15
Issue number5
DOIs
Publication statusPublished - 1 Oct 2014

Fingerprint

Surgical Wound Infection
Clostridium perfringens
Osteotomy
Knee
Elective Surgical Procedures
Clostridium Infections
Wounds and Injuries
Debridement
Tibia
Ankle
Emergencies
Fever
Anti-Bacterial Agents
Transplants
Skin
Infection

ASJC Scopus subject areas

  • Surgery
  • Infectious Diseases
  • Microbiology (medical)

Cite this

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title = "Clostridium perfringens surgical site infection after osteotomy for knee deformity correction in a non-immunocompromised child",
abstract = "Background: Clostridium perfringens myonecrosis following an elective surgical procedure in a previously healthy child is a rare incident.Methods: Case report and literature review.Results: A two-year old boy admitted for elective bilateral osteotomies of tibiae was detected to be febrile at day one post-operatively with crepitus felt at his left ankle. An emergency wound debridement was performed followed by a course of antibiotics. Clostridium perfringens was isolated from tissue culture. His wound was later covered with a split-thickness skin graft.Conclusion: Clostridium perfringens infection following a surgical procedure in a healthy child is rare. A high index of suspicion is important to recognize this debilitating infection.",
author = "{Abd Rashid}, {Abdul Halim} and Ramliza Ramli and Sharaf Ibrahim",
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T1 - Clostridium perfringens surgical site infection after osteotomy for knee deformity correction in a non-immunocompromised child

AU - Abd Rashid, Abdul Halim

AU - Ramli, Ramliza

AU - Ibrahim, Sharaf

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AB - Background: Clostridium perfringens myonecrosis following an elective surgical procedure in a previously healthy child is a rare incident.Methods: Case report and literature review.Results: A two-year old boy admitted for elective bilateral osteotomies of tibiae was detected to be febrile at day one post-operatively with crepitus felt at his left ankle. An emergency wound debridement was performed followed by a course of antibiotics. Clostridium perfringens was isolated from tissue culture. His wound was later covered with a split-thickness skin graft.Conclusion: Clostridium perfringens infection following a surgical procedure in a healthy child is rare. A high index of suspicion is important to recognize this debilitating infection.

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