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Case 11.
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Clostridium butyricum-induced gas gangrene accompanying pneumatosis cystoides intestinalis (35 y-o M) |  |
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| Small bowel surgically resected for mesenteric arterial thrombosis in a patient of severe diabetes mellitus, accompanying pneumatosis in the bowel wall and portal vein (alive for 6 years after surgery) | |||||
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Key words :
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Clostridium butyricum, gas gangrene, pneumatosis cystoides intestinalis, Clostridium septicum | ||||
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opportunistic infection
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| Gas-filled space formed in the submucosa of the small bowel (HE) | Gas embolism filling the portal vein branches in the liver (CT scan) | |
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| Spore-forming large rods seen in the necrotic gut wall (HE) | Spore-forming, Gram-positive large rods seen in the necrotic gut wall (Gram) | |
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| Capsule formation by the spore-forming rods in the gut wall (colloidal iron) | Reference case A Clostridium septicum-induced neutropenic colitis in a leukemia patient (32 y-o F). Segmental necrotizing colitis results from chemotherapy-related neutropenia. |
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