Clostridium septicum infection in neutropenic enterocolitis

A 36-year-old woman developed neutropenia following chemotherapy for inoperable carcinoma of the cervix. She suffered acute abdominal pain, nausea, vomiting, and peritonitis of rapid onset. The right hemicolon and 15cm of terminal ileum was resected at laparotomy and this showed marked edema of the...

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Veröffentlicht in:Pathology 1988, Vol.20 (2), p.194-197
Hauptverfasser: Yeong, Mee Ling, Nicholson, Gordon I.
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creator Yeong, Mee Ling
Nicholson, Gordon I.
description A 36-year-old woman developed neutropenia following chemotherapy for inoperable carcinoma of the cervix. She suffered acute abdominal pain, nausea, vomiting, and peritonitis of rapid onset. The right hemicolon and 15cm of terminal ileum was resected at laparotomy and this showed marked edema of the cecum and ileo-cecal valve associated with superficial ulceration of the valve. There was necrosis of submucosal tissues and the muscle wall which contained a large number of Gram-positive bacilli. These showed positive membrane immunofluorescence with specific anti-Clostridium septicum antisera. We identify a case of enterocolitis due to Clostridium septicum infection. This is associated with neutropenia and is often fatal due to the rapid course of and failure to recognize the infection.
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She suffered acute abdominal pain, nausea, vomiting, and peritonitis of rapid onset. The right hemicolon and 15cm of terminal ileum was resected at laparotomy and this showed marked edema of the cecum and ileo-cecal valve associated with superficial ulceration of the valve. There was necrosis of submucosal tissues and the muscle wall which contained a large number of Gram-positive bacilli. These showed positive membrane immunofluorescence with specific anti-Clostridium septicum antisera. We identify a case of enterocolitis due to Clostridium septicum infection. 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source MEDLINE; Taylor & Francis Journals Complete; Alma/SFX Local Collection
subjects Adult
Agranulocytosis - complications
Agranulocytosis - pathology
Cecum - microbiology
Clostridium Infections - complications
Clostridium Infections - pathology
Clostridium septicum
enterocolitis
Enterocolitis - complications
Enterocolitis - pathology
Female
Humans
Neutropenia
Neutropenia - complications
Neutropenia - pathology
title Clostridium septicum infection in neutropenic enterocolitis
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