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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 9/2012

01.09.2012 | Case Report

Acute post-surgical bilateral orbital gas-producing infection — a case report and literature review

verfasst von: Miroslav Knežević, Dejan Rašić, Milenko Stojković, Miloš Jovanović, Marija Božić

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 9/2012

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Excerpt

The presence of visible gas on radiography, computed tomography (CT), or magnetic resonance imaging (MRI) is associated with various pathological conditions, ranging from severe infections caused by gas-producing organisms to cutaneous and subcutaneous tissue disruption that allows an interface with the air [ 1]. A high index of suspicion surrounds the finding of gas because of the virulence of conditions such as gas gangrene and necrotizing fasciitis [ 112]. Gas dissecting into the orbital soft tissues as a result of bacterial activity is a rapidly progressive, extremely serious, life-threatening ophthalmological emergency [ 112]. Gas gangrene (myonecrosis) and necrotizing fasciitis can cause necrosis of tissues and systemic shock with multiorgan failure, sometimes within a matter of hours [ 13, 13]. It is well known that the usual causative organisms in gas-producing infection from a contaminated wound are clostridial species: Clostridium perfringens accounts for the majority of cases (over 80 %), while most other cases are caused by other Clostridium species [ 13]. Clostridial infection is always associated with necrosis, and very often associated with poor functional and anatomical outcome [ 14]. However, a variety of other non-clostridial organisms, both aerobes and anaerobes, may also produce infections in which gas is demonstrable: Escherichia coli, Proteus species, Pseudomonas aeruginosa, Bacteroides, Klebsiela pneumoniae, Prevotella species, Staphylococcus aureus, Peptostreptococcus species, Fusobacterium species, and Streptococcus pyogenes are only the species reported most often in the literature [ 2]. …
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Metadaten
Titel
Acute post-surgical bilateral orbital gas-producing infection — a case report and literature review
verfasst von
Miroslav Knežević
Dejan Rašić
Milenko Stojković
Miloš Jovanović
Marija Božić
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 9/2012
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-012-2047-z

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