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KMID : 0356920080540010113
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Korean Journal of Anesthesiology
2008 Volume.54 No. 1 p.113 ~ p.116
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Spontaneous, Fulminant Gas Gangrene Caused by Klebsiella Pneumoniae: An Unrecognized Small Air Bubbles in the Left Femoral, External and Common Iliac Vein, and Inferior Vena Cava
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Yeom Jong-Hoon
Son Sung-Il
Min Hyoung-Ki
Shim Jae-Hang
Cho Sang-Yoon
Shin Woo-Jong
Jeon Woo-Jae
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Abstract
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Fulminant gas gangrene is a rare condition, usually associated with contaminated traumatic injuries. It carries a high rate of mortality and morbidity. Also, a number of studies have implicated non-traumatic gas gangrene, associated mostly with underlying diseases that cause immunodeficiency. We report a non-traumatic fatal case of Klebsiella pneumoniae gas gangrene with small air bubbles in the left external and common iliac vein, and inferior vena cava in a previously healthy male. We would like to recommend you do not use nitrous oxide in case of gas gangrene, because it can aggravate pulmonary air embolism. (Korean J Anesthesiol 2008; 54: 113∼6)
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KEYWORD
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air bubbles, fulminant gas gangrene, klebsiella pneumoniae
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