Nontraumatic clostridial myonecrosis: an indication for colonoscopy?
Clostridial myonecrosis (CM) is a rare infection that usually arises after traumatic injury. Spontaneous or nontraumatic CM is even more rare and has been described in association with colorectal malignancy. These infections carry a high mortality rate and require urgent surgical intervention and intensive antibiotic therapy. This report describes a patient who presented with nontraumatic CM of the lower extremity in association with adenocarcinoma of the cecum.
Jacob
Zvi Charles
ZC
Department of Surgery, Berkshire Medical Center, Pittsfield, Massachusetts, USA.
Dedekian
Michael
M
Seoudi
Hani
H
D000230:Adenocarcinoma / Q000150:complications*; D000368:Aged; D000671:Amputation, Surgical; D002430:Cecal Neoplasms / Q000150:complications*; D003015:Clostridium Infections / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D003113:Colonoscopy; D005260:Female; D005738:Gas Gangrene / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D009132:Muscles / Q000382:microbiology / Q000473:pathology