GAS GANGRENE

2.2 CLOSTRODIAL MYONECROSIS (GAS GANGRENE)

This infection is caused by a group of gram positive spore-
bearing organisms of the Clostrodia group.
The prominent members are the
Welchi Septicum,
Welchi Oedematiens
Welchi Perfrigens.
These organisms are found in the intestines of man and other
animals and, thus, contamination of wound occurs from soil or street accidents.
This is because of animal excreta in the soil

Gas forming organisms can also cause the disorder in cases of
Leak, from the patient's own gastrointestinal tract(peritonitis
and colostomies).
Other organisms known to produce gas are Anaerobic Streptococci
and E. Coli.
Clostrodium Septicum myonecrosis is, known to be associated with malignancy.

Severe wounds with massive damage of muscle with impairment of
vascular supply(low oxygen tension) contaminated with Clostrodial organisms are most likely to develop gas gangrene.
This type of infection has been encountered more often in times of
war, because of severe injuries inflicted.

In modern times, industrial and motor traffic accidents can also
be severe and produce ideal conditions of low oxygen tension
which in the presence of contamination, would lead to gas
gangrene.

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