A 52-Year-Old Diabetic Man with Poor Dental Hygiene, Right Dental Abscess, and Parapharyngeal Abscess with Gas Gangrene Due to Klebsiella pneumoniae Infection, Presenting with Septic Shock and Multiorgan Failure, Who Recovered After Surgical Neck Debridement

24 June 2023: Articles

A 52-Year-Old Diabetic Man with Poor Dental Hygiene, Right Dental Abscess, and Parapharyngeal Abscess with Gas Gangrene Due to Infection, Presenting with Septic Shock and Multiorgan Failure, Who Recovered After Surgical Neck Debridement

Mistake in diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease

Sirinkarn Sookdee ^A* , Narit Jianbunjongkit ^D

DOI: 10.12659/AJCR.940376

Am J Case Rep 2023; 24:e940376

Table 1. Laboratory findings.

Hematology		Blood chemistry		Blood gas
WBC counts	23 100 cells/mm	Creatinine	2.24 mg/dL	pH	7.20
Neutrophil	89%	Total bilirubin	2.4 mg/dL	PCO2	33.2 mmHg
Platelet count	91 000 cells/mm	AST	402 U/L	PO2	135 mmHg
Hematocrit	24%	ALT	138 U/L	HCO3	14 mmol/L
INR	1.44	Albumin	2.3 g/dL
aPTT	54.4 seconds	Glucose	246 mg/dL
		HbA1C	7.3%
WBC – white blood cell; INR – international normalized ratio; aPTT – activated partial thromboplastin time; AST – aspartate transaminase; ALT – alanine transaminase; HbA1C – glycated hemoglobin; pH – potential of hydrogen ion; PCO2 – partial pressure of carbon dioxide; PO2 – partial pressure of oxygen; HCO3 – calculated serum bicarbonate ion.