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Case Reports
. 2013 Jan 22:2013:bcr2012008153.
doi: 10.1136/bcr-2012-008153.

Pseudomembranous colitis due to Clostridium difficile as a cause of perineal necrotising fasciitis

Thibault Duburcq  1 , Erika Parmentier-Decrucq, Julien Poissy, Daniel Mathieu
Affiliations
Case Reports

Pseudomembranous colitis due to Clostridium difficile as a cause of perineal necrotising fasciitis

Thibault Duburcq et al. BMJ Case Rep. .

Abstract

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.

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Figures

Figure 1
Figure 1
CT scan of pelvis performed on admission showed extensive perineal fasciitis.
Figure 2
Figure 2
CT scan performed on day 21 found an unchanged aspect of colitis.
Figure 3
Figure 3
Local aspect on day 21.
See this image and copyright information in PMC

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