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가스 형성 감염의 감별 진단과 치료

Other Titles
 Differential diagnosis and its treatment of gas forming infections 
Authors
 한수봉  ;  강호정  ;  박진 
Citation
 Journal of the Korean Fracture Society (대한골절학회지), Vol.15(4) : 607-613, 2002 
Journal Title
Journal of the Korean Fracture Society(대한골절학회지)
ISSN
 1225-1682 
Issue Date
2002
Keywords
가스 형성 감염 ; 가스 괴저
Abstract
Purpose : To establish the guidelines for the differential diagnosis and proper initial treatment of the gas forming infections through the review of literature and our clinical experiences.
Materials and Methods : The radiological findings, clinical course, gram stain, bacterial culture, predisposing factors and treatment of four cases of gas forming infections from January 1994 to August 2001, were retrospectively analyzed.
Results : Three cases diagnosed presumptively as gas gangrene were improved through amputation or disarticulation and intravenous antibiotics. One case diagnosed presumptively as non-clostridial infection was expired due to sepsis in spite of incision, drainage and intravenous antibiotics. In the bacterial culture, two cases were nonclostridial infection, one case was not able to diagnose and one case was clostridial myonecrosis(gas gangrene)
Conclusion : The gas forming infections are rare but life-threatening. When the proper initial treatment is delayed, the fatal complications may result. So, the presumptive diagnosis through gram stain, clinical course, radiological findings should be made as soon as possible, and according to which, the appropriate initial treatment, such as, surgical debridement, amputation, intravenous antibiotics must be started. The following treatments should be corrected by definitive diagnosis through the bacterial culture.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Park, Jin(박진)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144720
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