Anaerobic myonecrosis or gas gangrene

A battlefield horror, gas gangrene, affected war wounds in around 5% of cases during World War 1; 1% in World War 2and in 0.016% of cases during the Vietnam War20. Its current incidence is low, although there has been an increase over the last 20 years, due to the increase of road injuries, errors in prophylaxis and mostly due to surgical practice where one-step repair procedures tend to be used21. Current incidence is estimated at 0.1 to 0.4 cases per year per 100 000 inhabitants22. In our own area, we have treated 165 cases in 15 years - in a recruitment area of 5 million inhabitants (Lille, Northern France).

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