Anaerobic spore forming gram positive bacilli, box-car shaped.
Environmental (soil, water) organism as well as human/animal digestive tract.
Associated with penetrating wounds with environmental exposure.
Gas gangrene/Clostridial myonecrosis
Necrotizing skin and soft tissue infection
Fatal bacteremia with massive exotoxin-mediated hemolysis
Foodborne self-limited gastrointestinal illness
Contact precautions while draining wound present.
IVIG may be considered.
In cases of gas gangrene or necrotizing fasciitis, prompt surgical debridement is critical.
Strongly consider consultation with Surgery and Infectious Diseases.
Combination of penicillin and clindamycin should be considered in patients with necrotizing fasciitis or clostridial myonecrosis.