Duburcq Thibault, Parmentier-Decrucq Erika, Poissy Julien, Mathieu Daniel
Service d'Urgence Respiratoire, Réanimation Médicale et Medecine Hyperbare, Université de Lille II et Centre Hospitalier et Universitaire de Lille, Lille, France.
BMJ Case Rep. 2013 Jan 22;2013:bcr2012008153. doi: 10.1136/bcr-2012-008153.
Although rare, pseudomembranous colitis may be a cause of perineal necrotising fasciitis in a context of immunosuppression, as in the case we report. This origin must be quickly identified because the therapeutic management, especially surgery, is unlikely to be the same as usual. Similarly, antibiotic treatment is also a matter of discussion due to the potential deleterious role of antibiotics in pseudomembranous colitis.
尽管罕见，但在免疫抑制的情况下，伪膜性结肠炎可能是会阴部坏死性筋膜炎的一个病因，如我们报道的病例。必须迅速识别这种病因，因为治疗管理，尤其是手术，可能与通常情况不同。同样，由于抗生素在伪膜性结肠炎中可能具有有害作用，抗生素治疗也存在争议。
