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 |
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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. |
doi_str_mv | 10.3109/00313028809066634 |
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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. This is associated with neutropenia and is often fatal due to the rapid course of and failure to recognize the infection.</description><identifier>ISSN: 0031-3025</identifier><identifier>EISSN: 1465-3931</identifier><identifier>DOI: 10.3109/00313028809066634</identifier><identifier>PMID: 3211599</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>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</subject><ispartof>Pathology, 1988, Vol.20 (2), p.194-197</ispartof><rights>1988 Royal College of Pathologists of Australasia</rights><rights>1988 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1988</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-f22715ab0c9491619134a3c938dbb70f721a99872bf450c401a32696e34131273</citedby><cites>FETCH-LOGICAL-c400t-f22715ab0c9491619134a3c938dbb70f721a99872bf450c401a32696e34131273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/00313028809066634$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/00313028809066634$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,4022,27922,27923,27924,61220,61401</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3211599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yeong, Mee Ling</creatorcontrib><creatorcontrib>Nicholson, Gordon I.</creatorcontrib><title>Clostridium septicum infection in neutropenic enterocolitis</title><title>Pathology</title><addtitle>Pathology</addtitle><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.</description><subject>Adult</subject><subject>Agranulocytosis - complications</subject><subject>Agranulocytosis - pathology</subject><subject>Cecum - microbiology</subject><subject>Clostridium Infections - complications</subject><subject>Clostridium Infections - pathology</subject><subject>Clostridium septicum</subject><subject>enterocolitis</subject><subject>Enterocolitis - complications</subject><subject>Enterocolitis - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Neutropenia</subject><subject>Neutropenia - complications</subject><subject>Neutropenia - pathology</subject><issn>0031-3025</issn><issn>1465-3931</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotVZ_gAuhK3ej907mFbqS4gsKbnQdMpk7NGVmUpOM4L83pYMbwVUunPMdyMfYNcIdRxD3ABw5pFUFAoqi4NkJm2NW5AkXHE_Z_JAnsZCfswvvdwCQVVU1YzOeIuZCzNlq3VkfnGnM2C897YPR8TBDSzoYO8RrOdAYnN3TYPSShkDOatuZYPwlO2tV5-lqehfs4-nxff2SbN6eX9cPm0RnACFp07TEXNWgRSawQIE8U1wLXjV1XUJbpqiEqMq0brMcIoOKp4UoiGfIMS35gt0ed_fOfo7kg-yN19R1aiA7ellWBQLioYjHonbWe0et3DvTK_ctEeRBmPwjLDI30_hY99T8EpOhmK-OeXRiXa-2pLqw1cqR3NnRDfHj_65PNEU_X4ac9NrQoKkxLhqWjTX_0D8ltokw</recordid><startdate>1988</startdate><enddate>1988</enddate><creator>Yeong, Mee Ling</creator><creator>Nicholson, Gordon I.</creator><general>Elsevier B.V</general><general>Informa UK Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1988</creationdate><title>Clostridium septicum infection in neutropenic enterocolitis</title><author>Yeong, Mee Ling ; Nicholson, Gordon I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-f22715ab0c9491619134a3c938dbb70f721a99872bf450c401a32696e34131273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Agranulocytosis - complications</topic><topic>Agranulocytosis - pathology</topic><topic>Cecum - microbiology</topic><topic>Clostridium Infections - complications</topic><topic>Clostridium Infections - pathology</topic><topic>Clostridium septicum</topic><topic>enterocolitis</topic><topic>Enterocolitis - complications</topic><topic>Enterocolitis - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Neutropenia</topic><topic>Neutropenia - complications</topic><topic>Neutropenia - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yeong, Mee Ling</creatorcontrib><creatorcontrib>Nicholson, Gordon I.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yeong, Mee Ling</au><au>Nicholson, Gordon I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clostridium septicum infection in neutropenic enterocolitis</atitle><jtitle>Pathology</jtitle><addtitle>Pathology</addtitle><date>1988</date><risdate>1988</risdate><volume>20</volume><issue>2</issue><spage>194</spage><epage>197</epage><pages>194-197</pages><issn>0031-3025</issn><eissn>1465-3931</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>3211599</pmid><doi>10.3109/00313028809066634</doi><tpages>4</tpages></addata></record> |
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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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