Anaerobic cellulitis

Case contributed by Dr Henry Knipe

Presentation

Diabetic foot ulcer ?osteomyelitis.

Patient Data

Age: 78
Gender: Male
X-ray

Soft tissue gas projects over the plantar surface of the 5th MTP joint - this is in keeping with gangrene. No radiographic changes of advanced osteomyelitis.

Case Discussion

On examination patient's foot was cellulitic. Proteus mirabilis was isolated on culture. 

There is confusion regarding the term "gas gangrene", which in the true sense of the definition refers to skeletal muscle clostridial infection (myonecrosis / clostridial myositis). When the muscle is not infected with Clostridium spp. the term "anaerobic cellulitis" is preferable.

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Case information

rID: 35380
Case created: 3rd Apr 2015
Last edited: 5th Jul 2016
Inclusion in quiz mode: Included

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