title: [Necrotizing bacterial skin and software tissue infection with muscular involvement revealing of cancer of the colon].
abstract: 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.
authors.affiliation: Service d'anesthésie-réanimation 1, unité de réanimation, centre hospitalo-universitaire Lyon Sud, 69495 Pierre-Bénite cedex, France. crousierm@yahoo.fr
authors.forename: M
authors.initials: M
authors.lastname: Crousier
authors.forename: J
authors.initials: J
authors.lastname: Delmas
authors.forename: M-C
authors.initials: MC
authors.lastname: Blanchet
authors.forename: A
authors.initials: A
authors.lastname: Lepape
authors.forename: J-P
authors.initials: JP
authors.lastname: Perdrix
authors.forename: P-Y
authors.initials: PY
authors.lastname: Gueugniaud
mesh_terms: 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*