Acute Hemolysis in the Emergency Department: Think about Clostridium perfringens!
Joint Authors
Guillaume, Valdenaire
Philippe, Revel
Matthieu, Biais
Virginie, Heydel
Cécilia, Roustit
Benjamin, Clouzeau
Baptiste, Vallé
Source
Case Reports in Emergency Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-18
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Clostridium perfringens (CP) gives several clinical settings, from an asymptomatic to a massive intravascular hemolysis.
We report a case of fatal intravascular hemolysis due to CP septicemia having a hepatic supposed starting point in the emergency department.
Like in many cases, the diagnosis was made when patient had already gone into shock and died.
The CP septicemia often complicated the course of the digestive or genital pathologies.
The alpha toxin can damage the structural integrity of the red cell membrane by means of a phospholipase activity.
Nevertheless, a massive intravascular hemolysis arises only rarely in this septicemia, only from 7 to 15% of the cases.
The emergency physician has to think about this complication in case of hemoglobinuria and/or signs of hemolysis associated with a septic syndrome.
An immediate antibiotic treatment adapted as well as the symptomatic treatment of the spread intravascular coagulation could improve the survival of these patients.
American Psychological Association (APA)
Cécilia, Roustit& Baptiste, Vallé& Benjamin, Clouzeau& Virginie, Heydel& Guillaume, Valdenaire& Philippe, Revel…[et al.]. 2013. Acute Hemolysis in the Emergency Department: Think about Clostridium perfringens!. Case Reports in Emergency Medicine،Vol. 2013, no. 2013, pp.1-2.
https://search.emarefa.net/detail/BIM-1005668
Modern Language Association (MLA)
Cécilia, Roustit…[et al.]. Acute Hemolysis in the Emergency Department: Think about Clostridium perfringens!. Case Reports in Emergency Medicine No. 2013 (2013), pp.1-2.
https://search.emarefa.net/detail/BIM-1005668
American Medical Association (AMA)
Cécilia, Roustit& Baptiste, Vallé& Benjamin, Clouzeau& Virginie, Heydel& Guillaume, Valdenaire& Philippe, Revel…[et al.]. Acute Hemolysis in the Emergency Department: Think about Clostridium perfringens!. Case Reports in Emergency Medicine. 2013. Vol. 2013, no. 2013, pp.1-2.
https://search.emarefa.net/detail/BIM-1005668
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1005668