急性気腫性胆嚢炎に併発したＣｌｏｓｔｒｉｄｉｕｍ敗血症の１剖検例

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  • Clostridial sepsis associated with acute emphysematous cholecystitis. Report of an autopsy case.

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A case of non-traumatic systemic clostridial sepsis associated with severe hemolytic anemia is reported. The patient's illness progressed rapidly and she died despite intensive care. Post-mortem examination revealed emphysematous cholecystitis, a liver abscesses and sponge-like systemic organs with many Gram-positive bacilli. A culture from bile demonstrated Clostridium perfringens. We suspected that the focus of the infection was emphysematous cholecystitis. Such cases are very rare, but clinicians should be alert to the possibility of their ocurrence, since early diagnosis and therapy may cure the patient.

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