Clostridium septicum sepsis and colorectal cancer - a reminder

<p>Abstract</p> <p>Background</p> <p>Spontaneous clostridium septicum infections are rare and are associated with a high mortality. Association of clostridium infection with colorectal malignancies have been previously reported and most cases are described in tumours of...

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Main Authors: McCloud Jonathon M, Mirza Nazzia N, Cheetham Mark J
Format: Article
Language:English
Published: BMC 2009-10-01
Series:World Journal of Surgical Oncology
Online Access:http://www.wjso.com/content/7/1/73
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author McCloud Jonathon M
Mirza Nazzia N
Cheetham Mark J
author_facet McCloud Jonathon M
Mirza Nazzia N
Cheetham Mark J
author_sort McCloud Jonathon M
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Spontaneous clostridium septicum infections are rare and are associated with a high mortality. Association of clostridium infection with colorectal malignancies have been previously reported and most cases are described in tumours of the ascending colon. We report our experience of clostridium septicum infection in the presence of tumour perforation in a series of two patients as a reminder of its association with sepsis in the presence of colorectal malignancy.</p> <p>Case Presentation</p> <p>We isolated clostridium septicum infection in a series of two patients admitted as emergencies. One patient was found to have a perforated caecal tumour intraoperatively whilst the other had a perforated rectal tumour. The clinical outcome and management of each case are reported and underlying reasons for variations in outcome are discussed.</p> <p>Conclusion</p> <p>Although uncomman, the possibility of clostridium septicum sepsis should be borne in mind in patients who present with underlying malignancy and have sepsis. The cumulative effect of sepsis and malignant perforation is associated with a high morbidity and mortality. Awareness and early diagnosis of clostridium septicum may improve the prognosis of what is usually regarded as a fatal infection.</p>
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spelling doaj.art-57e44d73a9bd45b783efc132f6a885952022-12-22T03:25:52ZengBMCWorld Journal of Surgical Oncology1477-78192009-10-01717310.1186/1477-7819-7-73Clostridium septicum sepsis and colorectal cancer - a reminderMcCloud Jonathon MMirza Nazzia NCheetham Mark J<p>Abstract</p> <p>Background</p> <p>Spontaneous clostridium septicum infections are rare and are associated with a high mortality. Association of clostridium infection with colorectal malignancies have been previously reported and most cases are described in tumours of the ascending colon. We report our experience of clostridium septicum infection in the presence of tumour perforation in a series of two patients as a reminder of its association with sepsis in the presence of colorectal malignancy.</p> <p>Case Presentation</p> <p>We isolated clostridium septicum infection in a series of two patients admitted as emergencies. One patient was found to have a perforated caecal tumour intraoperatively whilst the other had a perforated rectal tumour. The clinical outcome and management of each case are reported and underlying reasons for variations in outcome are discussed.</p> <p>Conclusion</p> <p>Although uncomman, the possibility of clostridium septicum sepsis should be borne in mind in patients who present with underlying malignancy and have sepsis. The cumulative effect of sepsis and malignant perforation is associated with a high morbidity and mortality. Awareness and early diagnosis of clostridium septicum may improve the prognosis of what is usually regarded as a fatal infection.</p>http://www.wjso.com/content/7/1/73
spellingShingle McCloud Jonathon M
Mirza Nazzia N
Cheetham Mark J
Clostridium septicum sepsis and colorectal cancer - a reminder
World Journal of Surgical Oncology
title Clostridium septicum sepsis and colorectal cancer - a reminder
title_full Clostridium septicum sepsis and colorectal cancer - a reminder
title_fullStr Clostridium septicum sepsis and colorectal cancer - a reminder
title_full_unstemmed Clostridium septicum sepsis and colorectal cancer - a reminder
title_short Clostridium septicum sepsis and colorectal cancer - a reminder
title_sort clostridium septicum sepsis and colorectal cancer a reminder
url http://www.wjso.com/content/7/1/73
work_keys_str_mv AT mccloudjonathonm clostridiumsepticumsepsisandcolorectalcancerareminder
AT mirzanazzian clostridiumsepticumsepsisandcolorectalcancerareminder
AT cheethammarkj clostridiumsepticumsepsisandcolorectalcancerareminder