[Necrotizing bacterial skin and software tissue infection with muscular involvement revealing of cancer of the colon].
We report the case of a 38-year-old woman with a necrotizing bacterial skin and soft tissue infection with muscular involvement. The clinical picture was similar to a gaseous gangrene of the right lower limb with a septic shock and multiple organ failure, without predisposing factor such as trauma, and necessitating a hip amputation. The primary site of the disease was a perforated colic adenocarcinoma with peritoneal and retroperitoneal infection. The association of necrotizing skin and soft tissue infection with muscular involvement due to Clostridium septicum to a neoplasma is classical and in front of such an infection a neoplasma should be researched.
Crousier
M
M
Service d'anesthésie-réanimation 1, unité de réanimation, centre hospitalo-universitaire Lyon Sud, 69495 Pierre-Bénite cedex, France. crousierm@yahoo.fr
Delmas
J
J
Blanchet
M-C
MC
Lepape
A
A
Perdrix
J-P
JP
Gueugniaud
P-Y
PY
D000230:Adenocarcinoma / Q000150:complications / Q000473:pathology*; D000328:Adult; D000671:Amputation, Surgical; D003015:Clostridium Infections / Q000150:complications / Q000473:pathology*; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology*; D005260:Female; D006615:Hip / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D009135:Muscular Diseases / Q000150:complications / Q000473:pathology*; D009336:Necrosis; D012874:Skin Diseases, Infectious / Q000150:complications / Q000473:pathology*; D018461:Soft Tissue Infections / Q000150:complications / Q000473:pathology*