Clostridium perfringens: A rare cause of postoperative septic shock

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2018, Volume 26, Issue 4 : 147-149

Article

Clostridium perfringens: A rare cause of postoperative septic shock

van der Woude B.B.M.

Berkhout J.

van Basten J.P.

Schouten J.

⁴

Departments of Emergency Medicine, Canisius Wilhelmina Hospital, Nijmegen, Netherlands

Departments of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital, Nijmegen, Netherlands

Departments of Urology, Canisius Wilhelmina Hospital, Nijmegen, Netherlands

⁴

Departments of Intensive, Care Medicine, Canisius Wilhelmina Hospital, Nijmegen, Netherlands

Abstract

Postoperative infections with Clostridium perfringens are rare. We report a case of a 59-year-old male, admitted to our ICU for postoperative monitoring after an elective retroperitoneoscopic radical nephrectomy. This patient developed septic shock within 22 hours after laparoscopic surgery. Due to clinical deterioration, he was intubated and taken to the operating room, after a CT scan was performed. Surgery revealed an infected retroperitoneal haematoma, which was drained. Cultures identified C. perfringens as the causative pathogen. Postoperative C. perfringens infection is potentially life-threatening and rapid antibiotic treatment and surgical drainage play a pivotal role in its management. © 2018, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Clostridium perfringens

Laparoscopic nephrectomy

Septic shock

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