CASE SUMMARY: A 62-year-old Han Chinese woman presented to the Tianjin Hospital of ITCWM Nankai Hospital on January 8, 2020 because of epigastric
abdominal pain. Laboratory examination showed that urine
amylase was 10403 U/L (reference: 47-458), and blood
amylase was 1006 U/L (reference: < 100). Abdominal computed tomography showed pancreatic
edema and peripancreatic exudation. She was diagnosed with mild
acute pancreatitis and treated accordingly. She was readmitted the next day for similar symptoms. Two hours later, she went to the lavatory and urinated, and the urine color was like soy sauce. Oxygen saturation decreased to 77%, and she developed consciousness disturbance. She was admitted to the intensive care unit. After 8 h in the hospital, she had a high
fever of 40 ℃, blood was drawn for culture, and 3 g of
cefoperazone/
sulbactam was administered. After 12 h, she had a
cardiac arrest and died shortly. Blood culture confirmed a C. perfringens
infection.
CONCLUSION: