Fascitis necrosante clostridial asociada a neoplasia colónica perforada: importancia de un diagnóstico precoz

Necrotizing fasciitis following colon neoplasm perforation: The clue of an early detection Necrotizing fasciitis following colon neoplasm perforation: The clue of an early detection

Rev Chil Cir 2017; 69 (2): 167-170

Autor(es):

Manuela Elía-Guedea
Elena Córdoba-Díaz de Laspra
Estíbaliz Echazarreta-Gallego
Jose Manuel Ramírez-Rodríguez

Necrotizing fasciitis following colon neoplasm perforation: The clue of an early detection

AbstractResumen

Introducción: La gangrena espontánea por Clostridium septicum es una entidad poco frecuente con una alta mortalidad que se asocia a pacientes neoplásicos y/o inmunodeprimidos. Caso clínico: Presentamos un caso de gangrena clostridial en un paciente con neoplasia de colon ascendente perforada a retroperitoneo. Discusión-conclusiones: Aunque es poco común deberemos pensar en una infección clostridial en pacientes sépticos y sospecha de neoplasia colónica. En ausencia de diagnóstico y tratamiento precoz, el pronóstico es fatal.

Introduction: Spontaneous gangrene due to Clostridium septicum is a low frequency pathology with a high mortality rate. It is related to neoplasic and/or immunodeficient patients. Case report: We present the case of a patient who presented clostridial gangrene associated with a perforated colon neoplasm. Discussion-conclusions: Although it is not very common it must supposed a clostridial infection in septic patients with colon neoplasm suspect. If diagnosis and treatment are delayed the prognostic of the patient is fatal.


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