Extremity pain is a common complaint in adolescents. Pain out of proportion to examination findings should raise suspicion of deep tissue infection. Clostridial myonecrosis is a rapidly progressive disease consisting of muscle necrosis and systemic toxicity. It is usually seen in elderly and immunocompromised patients. Here we report a case of clostridial myonecrosis in an adolescent male.

Pancreatic infection caused by Clostridium perfringens is rare and follows a characteristic course. We present a foudroyant course of a necrotizing pancreatitis in a 77-year old man with typical imaging of retro-pneumoperitoneum without visceral perforation, peripancreatic emphysema due to gas gangrene in CT and hemorrhagic pancreatic necrosis.

A fulminant case of endophthalmitis due to Clostridium septicum is described. The patient presented with spontaneous gas gangrene panophthalmitis, with early visual loss and an air bubble in the anterior chamber. Death ensued, and necropsy revealed changes consistent with severe arterosclerotic cardiovascular disease, a relationship not uncommon in patients with clostridium sepsis. This associa...

Correspondence thing ?), for which you condemn prophylactic antibiotics. Our experience of 22 cases of gas gangrene suggests that this condition was unexpected and arose from a variety of orthopaedic operations-only four had had amputations. We find it difficult to understand how you can avoid the mention of hyperbaric oxygen in the management of this dreadful condition. An earlier leading arti...