Benignes subkutanes Emphysem nach Nagelpenetration
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- 作者：C. Kantelberg (1)
C. Meyer (1)
U. Harland (1) - 关键词：Emphysem ; benignes subkutanes ; Weichteilemphysem ; Mediastinalemphysem ; Gasbrand ; Nagelpenetration ; Emphysema ; benign subcutaneous ; Soft tissue emphysema ; Mediastinal emphysema ; Gas gangrene ; Nail penetration
- 刊名：Der Unfallchirurg
- 出版年：2014
- 出版时间：February 2014
- 年：2014
- 卷：117
- 期：2
- 页码：174-178
- 全文大小：459 KB
- 作者单位：C. Kantelberg (1)
C. Meyer (1)
U. Harland (1)
1. Zentrum f眉r Orthop盲die und Unfallchirurgie, Klinikum Saarbr眉cken, Winterberg 1, 66119, Saarbr眉cken, Deutschland - ISSN：1433-044X
文摘
Crepitus under the skin after penetrating injuries: harmless benign subcutaneous emphysema or life-threatening infection with gas-producing bacteria (gas gangrene because of Clostridium perfringens, crepitating cellulitis because of anaerobic Streptococcus or other coliforme bacteria)? We report a case of a 74-year-old male who developed massive crepitation of the left upper extremity and the lateral thoracic wall and mediastinal emphysema after sustaining a laceration of the left thumb and forefinger from a nail. Because there was the suspicion of gas gangrene we performed generous skin incisions of the ventral and dorsal part of the hand, the forearm and upper arm and open wound treatment. A triple antibiotic therapy was initiated. Due to fast regression of the subcutaneous emphysema and the mediastinal emphysema, continuing lack of symptoms, negative smear test results from the beginning and low infection parameters in the blood all wounds could be closed 9 days after primary surgery. The suspicion of gas gangrene was not confirmed so the diagnosis of benign subcutaneous emphysema was made.