Gas gangrene

Gas gangrene (clostridial myonecrosis) is caused by entry of one of several clostridia organisms into devitalised tissue such as exists following severe trauma to a leg. Clinical features

• sudden onset of pain and swelling in the contaminated wound

• brownish serous exudate

• gas in the tissue on palpation or X-ray

• prostration and systemic toxicity

Management

* Refer immediately to surgical centre

* Start benzylpenicillin 2.4 g IV, 4 hourly.

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