Published online September 30, 2005
PEDIATRICS Vol. 116 No. 5 November 2005, pp. e735-e737 (doi:10.1542/peds.2004-2876)
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ELECTRONIC ARTICLE

Clostridial Myonecrosis in an Adolescent Male

Melissa Langhan, MD and Linda Arnold, MD

Department of Pediatric Emergency Medicine, Yale-New Haven Children's Hospital, New Haven, Connecticut

Extremity pain is a common complaint in adolescents. Pain out of proportion to examination findings should raise suspicion of deep tissue infection. Clostridial myonecrosis is a rapidly progressive disease consisting of muscle necrosis and systemic toxicity. It is usually seen in elderly and immunocompromised patients. Here we report a case of clostridial myonecrosis in an adolescent male.

Key Words: infection • pain

Accepted May 19, 2005.