Abstract
Case 1 was a 47-year-old man who complained of a right foot pain. X-ray and CT showed gas formation in the fifth right toe. Case 2 was a 62-year-old woman who complained of right femoral pain. X-ray and CT showed gas formation in the right femur. These patients had severe diabetes mellitus. Culture revealed the presence of corynebacterium and peptostreptococcus, but not clostridium. These patients were treated with surgical management, antibiotics and skin graft, without hyperbaric oxygen therapy. An antibiotic regimen consisting of penicillin was used initially for both patients.
Nonclostridial gas gangrene is extremely rare but is life threatening. Aggressive treatment including surgical management and intravenous antibiotics with or without hyperbaric oxygen therapy must be initiated immediately to minimize morbidity and mortality.
