Pseudomembranous colitis due to Clostridium difficile as a cause of perineal necrotising fasciitis.
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.
Service d'Urgence Respiratoire, Réanimation Médicale et Medecine Hyperbare,  Université de Lille II et Centre Hospitalier et Universitaire de Lille, Lille,  France.
Thibault
T
Duburcq
Erika
E
Parmentier-Decrucq
Julien
J
Poissy
Daniel
D
Mathieu
D002081:Buttocks / Q000382:microbiology / Q000601:surgery; D016360:Clostridioides difficile; D004761:Enterocolitis, Pseudomembranous / Q000150:complications* / Q000382:microbiology; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000382:microbiology* / Q000601:surgery; D012772:Shock, Septic / Q000382:microbiology* / Q000628:therapy; D014844:Vulva / Q000382:microbiology / Q000601:surgery