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We report eight cases of gas gangrene experienced from 1988 to 1997 in Kagoshima city Hospital and allied hospitals. The injured sites were lower extremity in seven (four cases with popliteal artery injury) and the palm in one. The period from the injury to onset was 2 to 7 days (average; 4.5 days). Our criteria for diagnosis of gas gangrene are as follows; fever, secretion with foul odor, crepitation, serious inflammatory reaction and roentgenogrophic gas. Six patients were treated by amputation of the affected limbs and two cases received a surgical limb salvage procedure. All patients were also treated by hyperbaric oxygen and antibiotics. The hyperbaric oxygen therapy seemed to be effective for borth clostridium and non-clostridium gas gangrene. The prophylactic hyperbaric oxygen therapy for gas gangrene seemed to be effective for cases with diabetes mellitus or poplitial artery injury.

Eight Cases of Gas Gangrene Experienced at Kagoshima City Hospital.