Case ReportClostridium septicum Necrotizing Fasciitis of the Forefoot Secondary to Adenocarcinoma of the Colon: Case Report and Review of the Literature
Section snippets
Case Presentation
A 61-year-old Asian female presented to the Emergency Department with a chief complaint of approximately 10 hours of pain localized to her right lateral forefoot. The patient stated that the pain awoke her in the morning and persisted throughout the day. She then noticed fixed discoloration of the fourth and fifth digits on her right foot, which prompted her to present to the Emergency Department. The Vascular Surgery Service was initially consulted because of concern for an acute thrombolic
Discussion
Kornbluth et al (4) performed the first study regarding all nontraumatic C septicum infections reported between 1945 and 1987. A total of 162 cases were found. Of those cases, 131 (81%) were found to have an associated malignancy. Fifty-five patients (34%) were found to have a gastrointestinal malignancy, with 26 of these cases (47%) being a cecal malignancy and the remaining 29 cases (53%) being all other types of colorectal carcinoma. Sixty-five cases (40%) had a hematologic malignancy. The
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Flap coverage for necrotising soft tissue infections: A systematic review
2021, BurnsCitation Excerpt :Series involving free flaps, and also various islanded perforator and propeller flaps, are more likely to have warranted publication over the last two decades, given the expertise involved and/or the novelty of their application in the scenarios described [95,99,130,158]. Relatively few of the flaps (8.2%) were free flaps [146,147,218]. Given the range of regional muscle and fasciocutaneous flaps available to the reconstructive surgeon, there is often a durable and reliable alternative adjacent to the defect, especially if one considers that only 23.2% of the defects covered were the distal extremities, where local options are inevitably fewer.
Atraumatic Clostridial Myonecrosis in an Immunocompromised Host
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2019, American Journal of Case Reports
Disclaimer: The opinions or assertions contained herein are the private view of the author and are not to be construed as official or reflecting the views of the Department of the Army or the Department of Defense.
Financial Disclosure: None reported.
Conflict of Interest: None reported.