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Non-traumatic gas gangrene presenting as left buttock and thigh pain in a patient with metastatic non-small cell lung cancer
  1. Darren James Leaning1,
  2. Lynne Dixon2,
  3. P Fisher3
  1. 1Department of Medicine, Sheffield Teaching Hospitals, Derby, UK
  2. 2Northern General Hospital, Sheffield, UK
  3. 3Department of Oncology, Weston Park Hospital, Sheffield, UK
  1. Correspondence to Darren James Leaning, darrenleaning{at}


We report a case of Clostridium septicum myonecrosis in a patient with metastatic non-small cell lung cancer receiving palliative chemotherapy. This is a rare but important differential diagnosis in patients with known malignancy presenting with acute pain. It is critical that the diagnosis is considered and confirmed promptly due to rapid deterioration and a potentially fatal outcome in the absence of aggressive treatment.

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  • Competing interests None.

  • Patient consent Obtained