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Forensic Medicine · Thanatology: gas-forming organism in putrefaction
Sample itemAt autopsy of a decomposing body the liver is spongy with gas bubbles, giving a foamy appearance on cutting. Which organism is mainly responsible for this gas formation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Clostridium perfringens
Clostridium perfringens (welchii) is an anaerobic gut organism that spreads through the blood after death and ferments tissue to form gas. This produces the foamy or bubbly liver and the bloating of putrefaction.
Option by option
A. Staphylococcus aureus
Staphylococcus aureus is a pus-forming organism and not a main gas former.
B. Salmonella typhi
Salmonella typhi causes enteric fever and is not a major gas producer.
C. Streptococcus pyogenes
Streptococcus pyogenes causes suppurative and invasive infections, not the typical postmortem gas.
D. Clostridium perfringens (correct)
Correct. This anaerobe produces large volumes of gas in dead tissue.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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