title: Nontraumatic clostridial myonecrosis: an indication for colonoscopy?
abstract: 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.
authors.affiliation: Department of Surgery, Berkshire Medical Center, Pittsfield, Massachusetts, USA.
authors.forename: Zvi Charles
authors.initials: ZC
authors.lastname: Jacob
authors.forename: Michael
authors.initials: M
authors.lastname: Dedekian
authors.forename: Hani
authors.initials: H
authors.lastname: Seoudi
mesh_terms: 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