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Potentially life-threatening emergency
Progressive bacterial synergistic gangrene
Other Resources UpToDate PubMed
Potentially life-threatening emergency

Progressive bacterial synergistic gangrene

Contributors: Art Papier MD, William Van Stoecker MD
Other Resources UpToDate PubMed

Synopsis

Progressive bacterial synergistic gangrene is a mixed bacterial infection typically involving microaerophilic streptococci and Staphylococcus aureus. It occurs postoperatively at abdominal and thoracic surgery sites. It is a mixed bacterial infection of Streptococcus, typically found at the margins of the wound, and S aureus or Enterobacteriaceae species, found at the center.

This infection almost always begins at an abdominal or thoracic surgery wound site, beginning a few days to a few weeks after surgery. There is severe pain, but remarkably there is little systemic toxicity.

Codes

ICD10CM:
I96 – Gangrene, not elsewhere classified

SNOMEDCT:
238400007 – Progressive bacterial synergistic gangrene

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Differential Diagnosis & Pitfalls

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Therapy

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References

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Last Updated:03/05/2020
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Potentially life-threatening emergency
Progressive bacterial synergistic gangrene
Progressive bacterial synergistic gangrene : Fever, Abdomen, Bite or trauma site, Painful skin lesions, Patient appears systemically ill - toxic, Purple color, Skin ulcer
Clinical image of Progressive bacterial synergistic gangrene
Full thickness loss extending into the deep subcutaneous tissue.
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