Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 3, Number 3, June 2012, pages 207-210

Clostridium Perfringens Sepsis With Massive Intravascular Haemolysis: A Rare Presentation

Figures

Figure 1.
Figure 1. Body decomposition. Picture from the patient's leg taken 12 hrs after his death. It shows the advanced state of body decomposition with gaseous destruction of tissues and formation of haemorrhagic blisters, suggesting the presence of gas-producing bacteria.
Figure 2.
Figure 2. Body decomposition. Picture from the patient's right abdominal flank taken 12 hrs after his death. It shows the advanced state of body decomposition with gaseous destruction of tissues and formation of haemorrhagic blisters, suggesting the presence of gas-producing bacteria.

Table

Table 1. Laboratory Data
 
Hospital admission4 hrs after ICU admission6 hrs after ICU admission
Red blood cells (×1012/L)4.632.83
Haemoglobin (g/dL)14.44
Haematocrit (%)42.915.7
Mean cell volume (fL)92.6
Mean globular volume (pg)31.1
White cell count (×109/L)24,60022,200
Platelet count (×109/L)175,00052,000
Prothrombin time (sec)13.2> 120
Fibrinogen (g/L)< 0.5
Lactate dehydrogenase(U/L)4,95330,682
Haptoglobin (mg/dL)5649
C-reactive protein (mg/dL)6.936.18
Urea (mg/dL)68
Creatinine (mg/dL)1.552.723.30
Alanine transaminase (U/L)527474553
Aspartate transaminase (U/L)5931,4761,284
Alkaline phosphatase (U/L)90
γ-glutamyltransferase (U/L)513471
Total bilirrubin (mg/dL)6.8932.636.5
Direct bilirrubin (mg/dL)0.436.209.90