0
ARTICLE |

Gas Gangrene and Mixed-Clostridial Infections of Muscle Complicating Deep Thermal Burns

WILLIAM W. MONAFO, MD; LORENO BRENTANO, MD; DANIEL L. GRAVENS; RICHARD KEMPSON, MD; CARL A. MOYER, MD
Arch Surg. 1966;92(2):212-221. doi:10.1001/archsurg.1966.01320200052010.
Text Size: A A A
Published online

DURING two years, intensive bacteriologic study of the wounds of 50 patients suffering from major thermal burns has been performed at the Hartford Burn Unit in the Barnes Hospital. Anaerobic techniques were not used routinely, but only if the clinical circumstances seemed to warrant it. Despite this somewhat casual approach, clostridia were recovered in 45 of 1,843 consecutive cultures from 11 (22%) of the patients. In four patients the organisms were considered to be mere contaminants and of no apparent clinical significance. In seven patients with deep burns that extended to muscle, a mixed infection of muscle occurred from which pathogenic clostridia of several species, as well as a variety of other organisms, were recovered. The infection invariably resulted in severe systemic illness and either in extensive tissue loss or in amputation. All seven patients died: one patient of gas gangrene, another of septicemia due to Escherichia coli, Pseudomonas aeruginosa

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();