The Journal of Emergency Medicine, Vol. 54, No. 6, pp. e133–e135, 2018 2018 Elsevier Inc. All rights reserved. 0736-4679/$ - see front matter https://doi.org/10.1016/j.jemermed.2018.02.037 Visual Diagnosis in Emergency Medicine GAS GANGRENE OF MALIGNANT MIXED MULLERIAN TUMOR OF OVARY CAUSED BY CLOSTRIDIUM PERFRINGENS Khrongwong Musikatavorn, MD, Jutamas Saoraya, MD, and Tanawat Tarapan, MD Emergency Medicine Unit, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, Thailand Reprint Address: Khrongwong Musikatavorn, MD, Emergency Medicine Unit, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, 1873 Rama 4 Road, Pathumwan, Bangkok 10330, Thailand CASE REPORT region, where there was the presence of a palpable glob- ular- shaped mass. A 50-year-old woman presented to the Emergency Laboratory results included a white blood cell count of Department (ED) 1 day after the onset of new shivering, 26,090/mL and a lactate level of 8.6 mmol/L. Total and with the onset of fever, shortness of breath, and severe direct bilirubin levels were 5.20 and 3.36 mg/dL, respec- lower abdominal pain. Her history of present illness re- tively. The patient was promptly treated with boluses of vealed that
Journal of Emergency Medicine – Elsevier
Published: Jun 1, 2018
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