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

Thibault Duburcq; Erika Parmentier-Decrucq; Julien Poissy; Daniel Mathieu

doi:10.1136/bcr-2012-008153

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.

Authors

Thibault Duburcq¹, Erika Parmentier-Decrucq, Julien Poissy, Daniel Mathieu

Affiliation

¹ Service d'Urgence Respiratoire, Réanimation Médicale et Medecine Hyperbare, Université de Lille II et Centre Hospitalier et Universitaire de Lille, Lille, France.

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