Abstract：
We present an unusual and severe case of spontaneous clostridial myonecrosis (SCM) in an elderly patient, with severe skipping lesions spread throughout the body. CT imaging, combined with postmortem available blood cultures, confirmed the diagnosis. We noted an underrepresentation of SCM in the cohort of elderly patients (≥ 85 years), upon a review of case reports in the literature over the last decade. Given the worldwide demographic change resulting in an increase in the number of visits to emergency departments for this age group, it is likely that SCM is underdiagnosed in these elderly patients. This case report aims to increase awareness among emergency physicians to recognize the disease as well as to provide a treatment guideline, in order to provide better care and outcome.
摘要：
我们介绍了一位老年患者的自发性梭状芽孢杆菌心肌坏死（SCM）的不寻常且严重的病例，严重的跳跃病变遍布全身。CT成像,结合死后可用的血液培养，证实了诊断。我们注意到SCM在老年患者(≥85岁)队列中的代表性不足，回顾了过去十年文献中的病例报告。鉴于全球人口变化导致该年龄组急诊就诊人数增加，在这些老年患者中，SCM可能被低估。本病例报告旨在提高急诊医生对疾病的认识，并提供治疗指南。为了提供更好的护理和结果。
