[Clostridium myonecrosis: a complication of inguinal hernia repair]. / Mionecrosis por Clostridium como complicación de hernioplastia inguinal.

Clostridial myonecrosis is a necrotizing soft tissue infection characterized by muscular necrosis and, by extension, that of the surrounding tissue. If this infection develops quickly, it can cause septic shock and death if treatment is delayed. This infection does not occur frequently in civil medicine but nor is it exceptional after traumatic injuries or as a septic infection resulting from certain surgical interventions. Spontaneous development of clostridial myonecrosis is not uncommon (most commonly produced by the Clostridium septicum genus), propagated mainly from the colon in patients with neoplasia and in poor health. Consequently, in patients of bacteremia caused by C. septicum, colonic tumor must be ruled out. We present a new case of C. septicum myonecrosis of the abdominal after elective inguinal hernia repair.

Mionecrosis por Clostridium como complicación de hernioplastia inguinal / Clostridium myonecrosis: a complication of inguinal hernia repair

La mionecrosis clostrídica es una infección necrosante de partes blandas caracterizada por la necrosis muscular y, de forma diferida, también la de los tejidos subyacentes, con evolución rápida al shock séptico y la muerte si se produce un retraso en el tratamiento. En la práctica civil no es frecuente, pero tampoco es excepcional su desarrollo después de heridas traumáticas o como secuela séptica de determinadas intervenciones quirúrgicas. No es del todo infrecuente la aparición espontánea (producida con mayor frecuencia por el género Clostridium septicum), que se propaga principalmente desde el colon, en pacientes con neoplasias y con malas condiciones, por lo que ante una bacteriemia por C. septicum es obligado descartar una neoplasia oculta de colon. Presentamos un nuevo caso de mionecrosis de pared abdominal por C. septicum después de cirugía electiva de hernia inguinal (AU)

Clostridial myonecrosis is a necrotizing soft tissue infection characterized by muscular necrosis and, by extension, that of the surrounding tissue. If this infection develops quickly, it can cause septic shock and death if treatment is delayed. This infection does not occur frequently in civil medicine but nor is it exceptional after traumatic injuries or as a septic infection resulting from certain surgical interventions. Spontaneous development of clostridial myonecrosis is not uncommon (most commonly produced by the Clostridium septicum genus), propagated mainly from the colon in patients with neoplasia and in poor health. Consequently, in patients of bacteremia caused by C. septicum, colonic tumor must be ruled out. We present a new case of C. septicum myonecrosis of the abdominal after elective inguinal hernia repair (AU)