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Spontaneous Clostridium septicum Septic Arthritis of the Shoulder and Gas GangreneA Case Report
P.K.Y. Goon, MRCSEd1; M. O'Brien, MPhil, FRCSEng1; O.G. Titley, MSc, FRCSEng(Plast)1
1 Department of Plastic Surgery, University Hospital Birmingham, Selly Oak, Birmingham B29 6JD, United Kingdom. E-mail address for P.K.Y. Goon: pat28g@yahoo.co.uk
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The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Plastic Surgery, University Hospital Birmingham, Birmingham, United Kingdom

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Apr 01;87(4):874-877. doi: 10.2106/JBJS.D.02337
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Spontaneous Clostridium septicum gas gangrene is a rare, devastating disease associated with a high mortality rate, even with treatment1-3. Rapid soft-tissue destruction and gas formation followed by septicemia and multiorgan failure is the usual clinical course. Another rare manifestation of Clostridium septicum infection is septic arthritis. We describe what we believe is the first reported case of concurrent Clostridium septicum gas gangrene and septic arthritis. The patient's family was informed that data concerning the case would be submitted for publication.
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