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KMID : 0882420160910010057
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Korean Journal of Medicine
2016 Volume.91 No. 1 p.57 ~ p.61
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A Fulminant Case of Clostridium perfringens Septic Shock caused by a Liver Abscess with Massive Hemolytic Anemia
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Kang Sun-Myoung
Yoon Jung-A
Kim Si-Chan
So Seol
Lee Hoon-Hee
Jo Jeong-Won
Huh Jin-Won
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Abstract
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A 65-year-old female visited the emergency room for severe back pain radiating to the neck. Aortic dissection computed tomography revealed a ruptured liver abscess and large pneumoperitoneum. Although emergent percutaneous drainage of the liver abscess and aggressive resuscitation were performed, massive hemolytic anemia and disseminated intravascular hemolysis developed and she subsequently died, 11 hours after her visit to the emergency room. Clostridium perfringens was identified in a blood culture obtained at the emergency room. We report this case because refractory septic shock due to a liver abscess and massive intravascular hemolytic anemia caused by Clostridium perfringens in a healthy female is rare.
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KEYWORD
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Clostridium perfringens, Shock, Septic, Anemia, Hemolytic, Disseminated intravascular coagulation
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