Pseudomembranous colitis due to Clostridium difficile as a cause of perineal necrotising fasciitis

BMJ Case Rep. 2013 Jan 22:2013:bcr2012008153. doi: 10.1136/bcr-2012-008153.

Abstract

Although rare, pseudomembranous colitis may be a cause of perineal necrotising fasciitis in a context of immunosuppression, as in the case we report. This origin must be quickly identified because the therapeutic management, especially surgery, is unlikely to be the same as usual. Similarly, antibiotic treatment is also a matter of discussion due to the potential deleterious role of antibiotics in pseudomembranous colitis.

Publication types

  • Case Reports

MeSH terms

  • Buttocks / microbiology
  • Buttocks / surgery
  • Clostridioides difficile*
  • Enterocolitis, Pseudomembranous / complications*
  • Enterocolitis, Pseudomembranous / microbiology
  • Fasciitis, Necrotizing / microbiology*
  • Fasciitis, Necrotizing / surgery
  • Fatal Outcome
  • Female
  • Humans
  • Middle Aged
  • Perineum / microbiology*
  • Perineum / surgery
  • Shock, Septic / microbiology*
  • Shock, Septic / therapy
  • Vulva / microbiology
  • Vulva / surgery