Espondilodiscitis por Clostridium perfringens

Background: Post-surgical infections of the spine occur in from 0% to 18% of cases. Postoperative spine infections due to Clostridium Perfringens (CP) resulting in necrotizing fasciitis are extremely rare. However, since they may be fatal, early and definitive treatment is critical. Case Description: A 62-year-old male with a T8-T9 Type C fracture, in ASIA Grade “E” (neurologically intact) underwent a posterior T6-T10 arthrodesis. However, 2 weeks postoperatively, he developed a postoperative thoracic wound infection; the cultures were positive for CP. As the patient developed necrotizing fasciitis, emergent debridement, negative pressure continued drainage, and initiation of appropriate antibiotic therapy were critical. Conclusion: Postoperative spinal infections due to CP with accompanying necrotizing fasciitis are extremely rare. As these infections may be fatal, they must be rapidly diagnosed and treated.

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Clostridium perfringens in the spine: A rare cause of post-surgical infection

Marroquín-Herrera¹,

Rosales-Camargo²,

Morales-Saenz³

et al. 2021

Surgical Neurology International

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Espondilodiscitis por Clostridium perfringens

Cited by 1 publication

References 6 publications

Clostridium perfringens in the spine: A rare cause of post-surgical infection

Clostridium perfringens in the spine: A rare cause of post-surgical infection

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