Clostridium perfringens infection of an anterior iliac crest bone graft donor site

A case report

Stuart Miller, B. R. Moed, J. L. Chess

Research output: Contribution to journalArticle

Abstract

Postoperative infection of elective surgical wounds with Clostridium species has been linked to gastrointestinal tract lesions. A 55-year-old man with a history of peptic ulcer disease was treated by open reduction and internal fixation with autogeneic cancellous bone grafting from an anterior iliac crest donor site for nonunion of the clavicle. A mild serosanguinous drainage from the Penrose drain site at the iliac crest had ceased on postoperative Day 11; the patient complained of pain and a brownish drainage on postoperative Day 15. The infection was documented with cultures positive for Clostridium perfringens. Aggressive emergent surgical and antibiotic therapy resulted in complete clinical recovery. The wound infection did not advance to severe tissue damage and myonecrosis. This case represents the first reported infection of an iliac crest bone graft site with C. perfringens.

Original languageEnglish (US)
Pages (from-to)265-268
Number of pages4
JournalClinical Orthopaedics and Related Research
Issue number293
StatePublished - Jan 1 1993
Externally publishedYes

Fingerprint

Clostridium Infections
Clostridium perfringens
Drainage
Tissue Donors
Transplants
Surgical Wound Infection
Bone and Bones
Clavicle
Bone Transplantation
Clostridium
Wound Infection
Infection
Peptic Ulcer
Gastrointestinal Tract
Anti-Bacterial Agents
Pain
Therapeutics
Cancellous Bone

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Clostridium perfringens infection of an anterior iliac crest bone graft donor site : A case report. / Miller, Stuart; Moed, B. R.; Chess, J. L.

In: Clinical Orthopaedics and Related Research, No. 293, 01.01.1993, p. 265-268.

Research output: Contribution to journalArticle

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