159.4 📌 章末速蚘

  • C. perfringens #1 gas gangrene; C. septicum spontaneous + CRC / leukemia
  • Cardinal: 痛 disproportionate + crepitus + bullae + 急 toxicity
  • Tx: Emergent debridement + PCN G + Clindamycin (toxin suppress)
  • ± HBO (don’t delay surgery)
  • C. septicum + → colonoscopy + leukemia workup
  • C. sordellii — post-partum, abortion, IDU → TSS-like no fever, leukemoid
  • C. perfringens food poisoning — 8-16 hr, no antibiotic
  • C. tertium — neutropenic, vanco/metronidazole (PCN/clinda R)