摘要
Here we reported a 59-year-old woman with diabetes who was found to have massive hemolysis associatedwith clostridium （C.） perfringens blood stream infection. She died 13 hours after admission in spite of aggressive treatment. The lady referred to our hospital with high fever, chills, body ache and right hypochondriac pain for 1 day. Physical examination revealed a temperature of 39, heart rate of 110 beats/min, blood pressure of 101/69 mmHg, and a respiratory rate of 25 breaths/min. Pulse oximetry was 94% on room air. Chest auscultation revealed good air movement without rales. Tenderness of right upper abdomen was found. Abnormal laboratory results included white blood cell （WBC） count of 20x109/L with 90.9% neutrophils,
Here we reported a 59-year-old woman with diabetes who was found to have massive hemolysis associatedwith clostridium （C.） perfringens blood stream infection. She died 13 hours after admission in spite of aggressive treatment. The lady referred to our hospital with high fever, chills, body ache and right hypochondriac pain for 1 day. Physical examination revealed a temperature of 39, heart rate of 110 beats/min, blood pressure of 101/69 mmHg, and a respiratory rate of 25 breaths/min. Pulse oximetry was 94% on room air. Chest auscultation revealed good air movement without rales. Tenderness of right upper abdomen was found. Abnormal laboratory results included white blood cell （WBC） count of 20x109/L with 90.9% neutrophils,
