Klebsiella Pneumoniae에 의한 자발적, 폭발적 가스괴저: 좌 대퇴정맥, 좌 바깥 엉덩정맥, 온 엉덩정맥과 하대정맥 내에 인식되지 않은 가스기포 —증례보고

• Published in: Korean journal of anesthesiology pp. 113 - 116
• Main Authors: 염종훈, 손성일, 민형기, 심재항, 조상윤, 신우종, 김경헌, 전우재
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 01-01-2008
• Subjects: 마취과학
• ISSN: 2005-6419; 2005-7563

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.
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. KCI Citation Count: 1